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SPECIAL USE REQUEST APPLICATION <br /> PIMIC51/10 <br /> RECfEATIAV NEW-AVM <br /> TO BE USED FOR groups, organizations,persons requesting special use of any park,park area or facility. <br /> Special use is defined as: <br /> • When 10% or more of any park area will be used for any activity or event <br /> • When exclusive use of a park or park area will be used to the exclusion of the general public <br /> • When a park code is requested to be waived for a special event or activity <br /> • When additional park resources, equipment or staffing are requested <br /> • When requesting partial or full fee reductions for park areas or facilities(fundraisers are not eligible) <br /> (Separate applications must be filed for each type activity or event for which you are requesting space.) <br /> SECTION 1 <br /> Name of Organization ATTI E O(xr?01CC,A-TiO/U <br /> Contact Person S 4 4-6,0 <br /> Address,City, State, Zip 13 S 1 0e!9 �4 r�//�N (i)/1g &} 71— c 9 &2 <br /> Phone(Area Code) /a?.S" -7(031/ 13 Fax f S7 37/0/S— Email H. SA151-c..) (21,41 Vis4 <br /> Date(s) of Event(s) n') y ) ST°Zoo 8 Time(IN) (OUT) <br /> Park Facility,Shelter,or Park Area Requested:i4 I I 1 cf4C i1 4 FLEA d LO W EP f/1-`2K GllrxiiadS <br /> Doe , (n/2,�., )9 to 7- . _S i /11F/2 /41/1 <br /> PI se give a detailed description of the activity or event: <br /> v-A-T-i ,v (Lc 9/er7-/9 itfro AA/ I( S/ /u ii2_ LAK int-77/it <br /> cc() i> pito 1)1 c a )2 7 `S1 /rJ?.11- ( t.4.1/w/s eLCt R <br /> Estimated attendance: i Vino Target age group: (o - (o 0 <br /> Is the event open to the public? X Yes No If yes, please complete Section#2 on reverse side of form <br /> Will a fee be charged for event participation? Yes X No What will fees be? <br /> How will money be collected? RLEIF /x 21 , C <br /> Is this a fundraiser? Yes X No If yes, please complete Section#2 on reverse side of form. <br /> Will you be asking for donations? X. Yes No Is the event recreationally oriented? X Yes// No <br /> Doyouplan to close off any park area for your event? X Yes No Please specify area .4-Ch iQ <br /> 1-' C�_ W S..ST_ % ex ,; J How many vehicles do you anticipate?7 Q <br /> O12._ I. -f-Sd VET• <br /> What is your plan for overflow parking or shuttle service: cl�t2�7V 111,1// Gls3_ 04) 1 t. -,c>S�T &s <br /> Provide a list of vendors, if any, participating in your event: S t 10 212,. 14(4_ Kr`c,un-,U 1,s <br /> Are you planning to amplify music or sound at your event? X Yes No <br /> Please describe: P 14- F02 jitiW6.‘t C.E In e _Fora_ �,TT <br /> WiII ents r other temporary structures be erected in the park or park area? X Yes No <br /> Will vehicles need to be driven on grass? Yes X No <br /> Will additional toilet facilities be provided? Yes X No <br /> If serving food, have you consulted with the Snohomish County Health Department to be sure your function/event <br /> is in compliance with their regulations?This is a requirement prior to your event/activity. X Yes No <br /> Attach a site map to this application. wT7- Ch <br /> Please note:Performer conduct and performance content, live or recorded, must be appropriate for families <br /> and general audiences. Profane, lewd, indecent or slanderous conduct or content is unacceptable. <br />