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FW: Hydroplane public hearing at March Park Commission Page 4 of 4 <br /> received the information on this form in the Park codes to ensure compliance. <br /> 2 <br /> • <br /> (initial here) <br /> I hereby declare the name and address and all other information given on this application to be true and <br /> correct. If the information is found to be false, I understand that I could be subject to prosecution and be <br /> fined up to $5,000 under RCW 9A.76.175 <br /> (initial here) <br /> Insurance: Depending on the size or activity of your group, you may be required to be covered by bodily <br /> injury and property damage liability insurance in an amount ascertained by the City of Everett, naming the <br /> City of Everett as an additional insured. Prior to the event the organization will be responsible for obtaining <br /> said insurance and notifying the proper officials. <br /> I certify that I have read the foregoing statements and that I have the authority as an official and/or <br /> authorized agent of the aforementioned organization to sign on behalf of said organization. <br /> Signature of person in charg'7•>,,y . Date signed: //'J/of <br /> From: Lori Cummings <br /> Sent: Tuesday,January 13,2009 10:22 AM <br /> ro: Barry Martin <br /> Cc: Sue Stimson <br /> Subject: Hydroplane public hearing at March Park Commission <br /> Hi Barry. Can we have the public hearing for the Hydroplane races at the March Park Commission meeting? <br /> 'lease coordinate with Sue. <br /> 7 <br /> 1/13/2009 <br />