Laserfiche WebLink
Community Recreation 0122741942 09/04/09 01:47P P.009 <br /> • <br /> El Park Shelter Use Application <br /> River <br /> Applications arc to be submitted to Elk River Recreation, 1104 Lions Park Drive NW. Please allow 14 days for processing. <br /> Additional time may be needed to process special requests that may need to be reviewed by other departments and/or <br /> commissions. All applicable city, county, and state ordinances and policies must be followed. Please note we are unable to check <br /> availability without a completed application and payment. The renter must make payment. Please make checks payable to the City of <br /> LA River. <br /> PLEASE CHECK DESIRED SPACES <br /> First Second Shelter People Resident Non-Res. <br /> Choice Choice Name Served Fee* Fee* <br /> Orono Park Shelter 1 100 $ 20 $ 40 <br /> Orono Park Shelter 2 50 $ 20 3 -10 <br /> Orono Park Sheller 3 50 $ 20 $ .40 <br /> Orono Pack Shelter 4 100 $ 20 $ 't 40 <br /> Lions Park Shelter 1 Sc) $ 20 $ 40 <br /> I.ions Pack Shelter 2 50 S 20 $ 40 <br /> Lions Park Shelter 3 50 $ 20 $ 40 <br /> Lions Park Shelter 4 50 $ 20 $ 40 <br /> Lions Park Shelter 5 (attached to Lions Park Center) _ 100 $ 20 $ 40 <br /> Ye' {/le I.ions Park Bandshell 200 $ 20 $ 40 <br /> Jackson/Main Street Park Gazebo 10 S 20 $ 40 1 <br /> tFces arc non-refundable. <br /> PLEASE COMPLETE THE FOLLOWING <br /> Rcnmr/OrgarizarionName. ic>56Pint ,L <br /> .. Cti ti„c"le • <br /> • <br /> Address Zf 7 I I (re„ Z,3, 1s_ £7i E;iir..- M N s53 <br /> Street City State Zip <br /> Organi2ation Contact Name, if applicable Email Address <br /> Phone (7L3) 2r.,S '90 Z Work Phone (74.3) LiftfI - I ( 7NO Fax <br /> Activity £t,t) a} S,....-, n Er C rl,11 eter 4- <br /> Date(s) of Activity R- 1 C - v 'c, c..- g- L3 - c.3 Number of People Expected Zoo _r <br /> Start Time I L:w f., End Time 1C4 w r., Set Up Time Needed t c''s Clean Up Time Needed L 4ry <br /> • <br /> SPECIAL EQUIPMENT OR CITY SERVICES REQUIRED - <br /> • <br /> Barricades Police Reserves Fun Packs: <br /> By signing this appbcauon,T agree to follow all applicable state,county,and city ordinances and policies. I understand that a portion-or all of <br /> my deposit may not be returned if these arc not followed. I understand that I am responsible for the facilities I reserve and that ices are non- <br /> refundable for any reason. <br /> Signature Z �1 ( - , ' Date (• 02- ,3 <br /> OFFICE USE ONLY <br /> Date./Time Received: Permit Number: <br /> Route to: Public Works <br /> • <br />