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fi • <br /> � IAL.USE � � ST APPLI � �O�� Noy prders -"ea? <br /> = 21p <br /> TO BE USED Fan group orgaefeettorte,deparemerris,Ldersons requesting..ing epec11�r Q any pk,[WIT <br /> areal or featly. Approval front Me+ sed•cf Everett for asset a perk arm is required why: <br /> o or more of anypa&am w1'4 be uSsd foram,atmorevent/pant code#9 d6104 <br /> o &elusive ewe of a park or park area will be used Me exclusion of ire general puLllcfpadc code • . <br /> 9 x'•.904 - - <br /> o A park code it'Amsted to be mired Fora speck event Of actiVitirriparft coda 9.06.10 3 and i 6W 11W 2 <br /> a Additional yank resources,equipment ors ng are requested <br /> • Requestiiv partial or full tee redtretions for perk areas or fac€l es(fundraisers are not elide) <br /> (Separate apptrbetlons most be filed for each type acfivilyarevrent for which you are requesting space) <br /> SECTION I <br /> Name of Crgen' •"tort . 044 ecatioae • <br /> Contact Person -1 <br /> • <br /> Current Address,City,State,rip: 3 a!o gyr-7`k ,4 if LOA ?t - <br /> Phone(tea Code) )2c3 z r-aRtpx • ;Email___________e eeee <br /> Date(s)of Event(s) sJ Tao. Time(IN) 7:c o eaea (Otfl <br /> Park Facility,Shelter,or Past Area Requested: cIl -4-_ f� 1C'_ ower, ,4� crc z _g <br /> Please give a detailed description <br /> of the ach,�y <br /> yOf event Attach adds anal pag/eys if n sar : Bead- ? — <br /> hnr �1,2ff4 T•EJcci `7'Ql1JGCCQL ,, Sl 1��.'+ .. -�/_,c,-.space) <br /> SE• <br /> attendance: a.a ] Target age group: 6.a �F`�� „745 <br /> Is the event open to the public? j__Yes —No if yes,pig complete Section 02 on reveme side of form <br /> Will a fee be charged for event parUcipation? Yes X ,No . 'mat will fees be? <br /> How will money be collected?_Is this a fundraiser? Yes,.,No of yes,pie se.complete Section 42 on reverse side aim). <br /> Will you be asking for donations? Yes No Is the event recreationally oriented? Yes No <br /> Do you plan to close off any park area for your event? Yes®No Please specify area Ail wa� <br /> How many vehicles de you anticipate? 4/6),Pi <br /> Are you planning ahplify music or sound at your event? Yes No Please des€ri <br /> Ne eer`e. he.7` P/`r <br /> . Please nob:Performer conduct and performance content,live or recorded,must be-appropriate for <br /> - families and general audiences.Profane,lewd,indecent or slanderous conduct or content is unacceptable. <br /> Will tents or other temporary structures be erected in the park or park area? Yes iso <br /> Will vehicles need to be driven on grass? Yes X No <br /> Will additional toilet facilities be provided? Yes No <br /> if serving food to the general public, have you consulted with the Snohomish County Health Department to ensure <br /> your funcffonlevent Is in compliance with their regulations? )( Yes . No <br /> - 0 Attach a site map to this application. — <br /> o Provide a/1st of vendors,if ani,partIcipeelm in your event S;Eve'- Leek-e Kee,4,E; <br /> o Attach a peetinglagago,if needed. 1V- <br /> S:E Trrnor 1Rezo, Uontrormsk tr- l Use e FOrrn end t-lc'd rimless i 1.ca<- • - <br /> 46 <br />