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9 <br /> s.a <br /> List land area you plan to use to control anticipated crowds: <br /> gv.itc4 - .5 P4 tzi Do cie- w,// /3 L (bs.�p <br /> ISS /V a n9-C c S.B' foczLi c tJ 4lLs`.rr�y <br /> • LJ• trif - L' L/4V4" • L,_ A..)• <br /> List names/phone numbers of the key individuals and/or organizations sponsoring this event: <br /> Now 4 R.0 5 law '/75 - y L 3 2/ g rtnexr <br /> L, - Y78 /1 ? /30 c1-7 felg!G,A-f co opt-gyp:nl rL— <br /> R I' W Ell qz-f 3q7 9312- 2 5 l pf./-4,.1-- E/7_ "fw£✓r- <br /> � <br /> Is this event being sponsored by a non-profit organization? NO <br /> The following items must be attached to the application: <br /> VI. 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. <br /> cor 4, i,L S C*'T too .. Ic sic 1914-i°4 4.1 c ci£ r- <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 No.//63- as"— and all other applicable laws,rules and regulations. <br /> Si! atm-- of pp icant City/State Date <br /> 6 <br /> S:\#Common\Recreation\RENTFAC\Special Use\Power Boating Race Application.doc <br />