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Outdoor Facility Use A~~li~at~on <br />This form and the appropriate Eee must be completed and submitted a mintaium of 14 days paor to the requested date. UVe are unable to <br />check availability without a c]impconIIYCtPpertnaiau~g to th date d faality i queset d aepennit will be i uedp Plrasegaote that some <br />there is no scheduling or p ry P <br />requests may involve city Parks and Recreation Commission review and must be submitted ands state orodinaacesyand polides must be <br />?,pplicadoas can be dropped ofd mailed or fa~;ed to our office. AIl applicable city, county, <br />followed. VISA. MasterCazd, check and cash accepted. Amounts Dues $100 must be made by credit cazd or money order. <br />Facility <br />•T~~ne of Facility ^ Shelter (please specify park) ^ Concession Stand (at athletic <br />Not all facilities are available at all ^ Bandshell (at Lions Park only) ~ Pip*exes only) <br />pack locations. Please ask if ^ Field (individuan ^ Stteet(s) ** <br />unsure. ^ Athletic Complex <br />^ Handke East Hockey Rink <br />* lrfany pack uses require review by the Parks and Recreation Commission. <br />** A map must be included with details oa the back side of this application and event may also require review by <br />the Parks and Recreation Comassion. ~. 1 ` ~ t ~~ •1 n ~~ ~ P yt d ~~-f <br />~,~ L W <br />Location Re uested -Please be s ecific / IM~ut~ ~/v V ~•1 ~ L~~.~t.i1~-rY <br />~~~ ~ S Second Choice <br />First Choice •I/~ l` b~ ~ 1i.-/1e~ <br />Event <br />~~..~ +-~ ~ Z:[~p~ Times 6 fk/yt - Z PW1 <br />Day ~G~-fi1.~Yd~t~-- Date(s) _ ~ Dl7 <br />~,tyyj i ~ ~>n 1~ u n l ~t~ I l .j-,,<. ~l c1 +'~e..l S t-'~ Number of People ;c~D o r ~x <br />Activity , <br />M ! r' ~~~ <br />+~Ot,a_. G 1 <br />Equipment group will bring T[:~ b 1 C S cL-1' r__ h~t-D n, ~ /t~'~ -, ~ , `' ''l s ``r' <br />Needs/Requests from the City (please confirm availability upon rental) N +7 ~ P <br />~ -tv ~~-S c. ~~ ~ c. l: ~~ -hru ~ k- -Fti bra ~.~ <br />~. N~ ~ : iJ~( t, r~ C ~ i ve d ~~ m ~ s s t ~~ i ~ Z-~o ~ ~ -tYr::~ . ~~, w ~ i~ u,~: e ~-+.~ p ~ ~ r~ <br />Renter ~ ht ~ ~°'~ i~ a~ ~ ~ c~,n --r-I~ i s yc~ •r ' 1~ I Mist. wc{ v i s c, . <br />~ (~~~~~vJ~Le. <br />Individual Responsible PVl V1 L t ~ ~•~ ~t~-y~~-~C f Sponsoring Group ~t~~~_',/ ~~ ~' ~ ~~ ~`-~l <br />Address ~-`l~ l.1 {L - ~~ ~- <br />Phone # Z~+1 ' 3`+1 ~ Email ^`1- .. e,~~~ tllL~i~er• ~ 2.uNA,~ax # ~~ (- ~-a-1 ! <br />The applicant is responsble and must be on site at all times d"*+~ this event. By signing below, you agree to follow all applicable state, <br />county, and city ordina ces and policies. You understand that the fees are aoa-refundable unless this request is not granted or is <br />cancelled by the Ci Elk Ri~'e~ 1 <br />~f' LJ Date •,%~ v <br />Signature ~ . '"~~~~ ~ <br />~ (..oh-f c~ c ~ ~G~--S ~~t o J c r~ n ~ t-a SS~ I~ ~ - ~ ~ ~~~ <br />See back forfee information. ERiver <br />.e ;r1 i+-~-Q ~ C~~ ~oSS ~ t Zcz~ . 1~ ~~ Parks and <br />Recrea~io~ <br /> <br />Jan 10 OS O4:15p Christian & Jenny Foss 763-441-4474 p•2 <br />~,._'' <br />