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Community Recreation 6122741842 06/08/03 10:SSA P.002 <br /> FROM : EIK RIDER BAND PHONE NO. : Rpr. 30 2003 02:51PM P1 <br /> ::oR+*unl to P,q_reatio�J /, S1.'.:TO3 Bnz DS/21/® 1'Lt6De P.8C71 <br /> q1� 29s9 Al,t. <br /> �, Park Shelter Use Application -�-ei,l-� �� Qu,�� <br /> ver t <br /> Npo1•cadon5 eta co ba suomitted to Elk Aver Recreation, 1104 Lions Perk Drive APR'- Please allow 14 days for procoearzg. <br /> .,ddie:una: dent may 14, needed to process sped:.i requtt% that nay need to l7e reviewed by other departmrnec sr.d/uc <br /> ettnin4su;ns• :i .p;,lieab:e city,County,and Irate nedtnaoen and policies Must be followed. Please note we tore unable to check <br /> oc':nittility w:knout n comp:eteo impliies:iOn and pay:mot. The renter must make payment. PRwe make few4J pryebk fe 471 Ci .al <br /> i:4r Ifjw: fjeau:ei over i7;A sum a..rode ly rtrfrjne e6.ci,r w.rq acrd a,md6.wd <br /> PLEASE CHECK DESIRED SPACES <br /> First Second Slather !People Renitent on-Rea. Aatpvalt <br /> Chuke Choice Name 1 <br /> Sind Pee ex I <br /> _.r ..�. Orta to Pak S�telesr• 1'a 1 :0'5 40_,DepositI Ire rewl ire;in • <br /> _ Orono hark Shover 2 50 ; 20 S on addition t0 the leer and <br /> Orono Park Shdru r sA S 20 5 a0 ae trod on the tine of <br /> i Urono Park Shdtca 4 10C 1 20 S s3 the group: I <br /> 7-.504 Perk Shelter 1 ----7"— 50 1 20 9 " 40 <br /> I Lone Perk Shelton 2 So$ 2012 ha Up to 100•1130 <br /> I . <br /> Lifts Paek Shelter 1 1 50 S 20 1 40 Ova 100.1500 <br /> I NNW Mink Shatter• I 50 5 20 1 40 <br /> ;_lens Pink Shelter 5 iarudtce m lions vita Ccttrcv) 1005 20 1 40 D.pwe.arerrfsad.:erc.Iris <br /> Loom Path BandahcU I 140 5 20 1 1 0 hay ia:ufcin gaud tm:diow, ' <br /> Iachso0/Main Srrocc Pa:k Cvivtc I :41 20 1 40 and poltics an Conant. { <br /> 'I rlu are nnn•refuntkdtlC• <br /> PLEASE COMPLETE THE FOLLOWING <br /> Rent 4%.fr.... �� �nn Renter/Organization Numc ELK g1t4P.0") &ID 47a--' (-it tor.:O'er ' oaro t&,j <br /> ,,t.,t,:e,. tr)D 5r_ko4 , -- kli Mk! S'S 34. <br /> Seruct City Stare, a Zip <br /> Organization 0:tantae:Nowt,if applicable W 1eeR..�� co..,ek� Eased Address ''r ,,,ii-so.a t - <br /> •7 clot`.2157 tai. <br /> Photo: b3_ 41-3434�^f � W'mk Phone I4Z7n 241 -36310 <br /> ;1 Cnrit,• Cam <br /> :)nrt;sI of Activity 6(0I b3 a it Number of People Expected 470 }" <br /> Stan Time W%30 End Time 19':.it? ? Si;Up Time Nccecd Clean Up Time Needed <br /> SPECIAL EQUIPMENT OR CITY SERVICES REQUIRED <br /> _ Harric adw. PvbcC i acrcs Pi= F I,W/ tat-o..-e- c,. pwies. <br /> —„ <br /> IV vuenrn0;hra apphnaion,7 agree to fo0ow as apptcabk onto.county,and city ordintancn and poliSi. I understand dnt a'nation of a0 of <br /> tar drootc ma.not 'unwed if dirat are nor f•lluwrd. 7=demand dust I em reepuaa;lc fur ric&dlitia I anent vie that Acts alt non- <br /> n•wu•S.BIr.?m•sty r�7 „�� /I♦ <br /> Signature ! = 1y�_�_ - Does ''j I$1'03 <br /> 11 <br /> OFFICE USE ONLY <br /> narc/Tone Received: _ Permit Numbest <br /> Rot cc t0. .� Public Works <br /> 74,3 -- 271 L(— / 84-La <br /> • <br /> • <br />