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• <br /> , y• <br /> SPECIAL USE REQUEST <br /> PAIEKSANQ• <br /> TO BE USED FOR groups,organizations,departdrents,persons requesting special use of any park park <br /> area or facility. Other City of Everett Departments are not required to tilt out Section 2 or the Special Use <br /> Hold Harmless Section of this packet: Special use Is defined as: <br /> • When fa%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 ba waived fora special event`dractfvity <br /> • When additional park resources,equipment or staffingare requested <br /> • When requesting partial or Mi 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 ��0� <br /> Name of Organization SEATTLE OccT o191ZI) A•S5e7c <br /> Contact Person /iso Go '4(to S1 19c v • <br /> Current Address,City,State,Zip:..j35 30 ef9$.4 D r AA) G)19'x9 et' RS-r7^&AI ? '2C <br /> Phone(Area Code) t/ t, `'fit S Faxc•lSS7e7 /CTS Email /715116 v e/-borA•4.0.4 <br /> Date(s)of Event(s) • 6-5 l 0 Time(INS aar1 in (OUT) 73:!rd P 14 <br /> Park Facility,Shelter,or Park Area Requested: /4 L L (3 'Ac A 4 i>_4� . t)„ 114Sr to cd ,ere&1 -i <br /> Per 12I .01 _ .f;I v€rf 1-I, t <br /> Please give a detailed description of the activity orprent 73 0/41I N Cs 12c-9 1471-74 4/•94UG4AG <br /> s;/rl 1z L,lKc TLF - O,P.c,urpY►-3 By slit/g.2 Coieg <br /> fC, r.0.414i5 <br /> • <br /> Estimated attendance: l 06,0 - /6-00 Target age group:(0- (o C'-r- <br /> Is <br /> rIs the event open to the public? No If yes, please complete Section#2 on reverse side of form <br /> Will a fee be charged for event participation? Yes ✓ m What will fees be? ,0( • <br /> How will money be collected? M/.4 <br /> Is this a fundraiser? Yes 4D if yes,please complete Section#2 on reverse side of form_ <br /> VIII you be asking for donations? Yes_V [Ov s the event recreationally oriented? _Yes <br /> No � ,/ <br /> . Do you plan to close off any park area for your event? V e _No Please specify area mi LW IQ: a <br /> (L9 fr'I fL l C'C 'SS 1- How many vehicles you anticipate? 7,2 yes and <br /> 5 support vehicles with food and supplies <br /> What is your plan for overflow parking or shuttle service: NA IiJ eiZ sW,1 ,4-,l&,1 Ras_Pace#t ivelfr`£ <br /> Provide a list of vendors, if any,participating in your event NA S;(rl£ LAcE <br /> Are you planning to amplify music or sound at your event? V Yes --No <br /> Pleasecribe: <br /> s ,S y s 1Ei -1 o fr- fix-AN c-E r E,u 1 f a Cowej.i.C.i-7"t ekd <br /> Will'C D■r other temporary structures be erected inghe park or park area? V (Vet —No <br /> G:1Documents and Settrngslhma02O281Local Settings\Temporary Internet FlreslOLK2761Special Use Form and Hold Harmless 09.doc <br />