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- land area <br /> you plan to use to control anticipated crowds: 75A <br /> List 111 <br /> • phone numbers o}fthe key individuals and/or o .� ,� <br /> event: E I . .�.. i 1d ons sponsoring this <br /> 1 . i4, <br /> Is this event being sponsored by a non-profit organization? NO <br /> 42, <br /> The following items must be attached to the application: <br /> 1. Plans drawn to scale showing the course of the <br /> clude outer restricted <br /> area, locations of buoys, markers and other floating devices that are existing or shall be <br /> temporarily placed on the water. <br /> 2. Certificate of insurance naming the City of Everett as additional insured for said <br /> dates of the proposed event for a minimum of S1,000,000. <br /> APPLICANT CERTIFICATION <br /> As Applicant, Icertify and declare under <br /> penalty <br /> Wion, Sno}Snohomishof perjury under the Iaws of the State of <br /> County and City of Everett, that the information submitted <br /> herewith is true and correct. I understand that no refunds will be made of the fees paid for <br /> processing this application; that any falsification or omission on this application form or <br /> arty of its required attachments are grounds for a denial, suspension or revocation of the <br /> permit, and may subject me to a civil and/or criminal penalty. I agree to comply <br /> all <br /> laws, regulations and requirements for the issuance and use of this exhibition and• its <br /> tournament permit as set forth in the Snohomish County and City of Everett Codes_ I <br /> understand I am responsible to pay the cost of publication and of <br /> posting <br /> provided for herein. No permit shall be issued hereunder unl of notices <br /> demonstrate that I 11 meet the conditions, limitations and restrictions, I' as the applicant, <br /> Ordinance No. and ail other applicable laws, andreg hat ons. <br /> , _ 2 Everett <br /> o <br /> Signature of Applicant Ci y ^ <br /> ty/State Date <br />