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Outdoor Facility Use A~~ilication <br />This form and the appropriate fee must be completed and submitted a minimum of 14 days prior to the requested date. We are unable to <br />check availability without a completed application and payment. Payment must be made by individual or group rentuig the facility. If <br />there is no scheduling or policy conflict pertaining to the date and facility requested, a permit will be issued. Please note that some <br />requests may involve city Parks and Recreation Commission review and must be submitted a minimum of 60 days prior to the event. <br />llpplications can be dropped off, mailed or faxed to our office. .ill applicable city, county, and state ordinances and policies must be <br />followed. VIS.~. MasterCard, check and cash accepted. .mounts over $100 must be made by credit card or money order. <br />FSCl~lty <br />Ty..pe ofof Fad ^ Shelter (please specify Lions ^ Concession Stand (at athletic <br />Not all facilities are available at all Park or Orono Park) complexes only) <br />park locations. Please ask if ^ Bandshell (at Lions Park only) f Park <br />unsure. ^ Field (individual) `!] Street(s) ** <br />^ Athletic Complex <br />* Many park uses require review by the Parks and Recreation Commission. <br />** ~~ map must be included with details on the back side of this application and event may also require review by <br />the Parks and Recreation Commission. <br />Location Requested -Please be specific <br />First Choice ''r~a'e1eJ ~~~ti~~ f~5i?wv~t 1 Second Choice <br />~~; <br />Event <br />Seg. _: r.~-l <br />Day W.l • ~1$ Date(s) ~"~G.. ~~ Times ~il o4,k,,,~ - f~11 N:yNI ~~I;` ~r~ <br />Activity ~~,~wlyr ~2v~,es -~~ta~+~~ Number of People ~5i~ <br />Equipment group will bring _~,nt„-,,,z.s ~'~c.~~~~,e Ca..~. ~^~I I f! S'~~~•-~ G.~,t-r"r <br />Needs/Requests from the City (please confirm availability upon rental) I'l'~~ f ~r ~ - hi~:a lz X ~h ~ ~'-h~4~ a" r <br />Renter <br />t `~n,2. ~~c'-- `njt c:•~~c. c. vto.. ~;~ti~-,~ ~~c~cr,.rrk:~h~'r~- <br />Individual Responsible ~ I~"~~ ~J ~+1vY Sponsoring Group ~~kd tF iNC~ty~ ~.~ y1~"' <br />Address :i~ 'G"^ ~"''""`~"¢'-~ <br />Phone # ""l '~ 3 ~K z s ~ s ~ Email ~''~ ~•.} f~=A , .;.,nom tM~d , ~:nr, Fax # 1 ~ ~ ~^ s' f ~'~S C <br />The applicant is responsible and must be on site at all times during this event. By signing below, you agree to follow all applicable state, <br />county, and city ordinances and policies. You understand that the fees are non-refundable unless this request is not granted or is <br />cancelled by the City.p~River. <br />~~~ <br />Signature e - Date ~ s C "" <br />See back for fee information. <br />Elk <br />River <br />Parks and <br />Recreation <br />