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6 <br /> List land area you plan to use to control anticipated crowds: <br /> 3 c 4 <br /> /41724,4- eA rue, Zoo cite-- C.0 //f/3 L 2-D <br /> Y 5 N a 13,-c c S'.J"S' � / 8 Lr-c- i. tc/L/ttir F•vt- <br /> Ai a s w?144 44, cis ) L'# 'c o /4. -- ne, £v> <br /> Cow vs �t A/d wrrTvit- 19414- re t, us t tLc sieve_,7-fn . <br /> List names/phone numbers of the key individuals and /or organizations sponsoring this event: <br /> 1•40 c 4 tZ0 I J y ZS -z y L 3 -71 g — <br /> �y.,� Ski ' CI74 3 I7� <br /> q/' ft;sK } - c& r- ` 11 p.13 g <br /> 12-40.4 U�xLv <br /> Is this event being sponsored by a non-profit organization? NO <br /> 010 <br /> The following items must be attached to the application: <br /> g/1. Plan drawn to scale showing the course of the event. Include outer restricted areas, <br /> locations of buoys, markers and other floating devices that are existing or shall be <br /> temporarily placed on the water. <br /> V 2. Certificate of Insurance naming the City of Everett as additional insured for said dates of <br /> the proposed event for a minimum of$1,000,000. oQ ���,,T- <br /> 4 COt. y ,to p L S£,►rr Ate',,�..% tc Sic a (�nav'{'4,o P <br /> APPLICANT CERTIFICATION <br /> As Applicant, I certify and declare under penalty of perjury under the laws of the State of <br /> Washington, Snohomish County and City of Everett, that the information submitted herewith is <br /> true and correct. I understand that no refunds will be made of the fees paid for processing this <br /> application; that any falsification or omission on this application form or any of its required <br /> attachments are grounds for a denial,suspension or revocation of the permit, and may subject me <br /> to a civil and/or criminal penalty. I agree to comply with all laws, regulations and requirements <br /> for the issuance and use of this exhibition and tournament permit as set forth in the Snohomish <br /> County and City of Everett Codes. I understand I am responsible to pay the cost of publication <br /> and of posting of notices provided for herein.No permit shall be issued hereunder unless, I, as <br /> the applicant, demonstrate that I will meet the conditions, limitations and restrictions of City of <br /> Everett Ordinance Noi<63 - OS" and all other applicable laws,rules and regulations. <br /> 7/„,S .- / <br /> r•— .ice Date <br /> Sly atur- of • pp scant City/State <br /> • <br /> G8 <br /> S:\#Common\Recreation\RENT_FAC\Special Use\Power Boating Race Application.doc <br />