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• <br /> C <br /> SECTION 2 Must be completed if: *your event is open to the public U <br /> *you are fundraising or charging a fee ` <br /> *You are requesting a full or partial fee reduction <br /> 1. Give a brief/ history ofyour organizatioru and its mission/intest: p <br /> . :?Ci itf (94.„74 0CFGitC /`p-:-9c=, `,ic T['%e'):.. _ -5-f"��'1� i,.'''✓,3 V'S �1� Pic-2�cdiCeS i <br /> ' i may, ,--A,`,.,G ,. r n._g6>i'C- .. , O Z. /--1 -5 .3- • L,._ rte.. mac.C moo,,, -4-'S <br /> Ge 6?-1:5,', ce'2.4' v/i.,>t 5' G'-A'7`A(/11 .4c?(-2/ 144.. rieo7j- - / ` <br /> J <br /> 2. Please� list name and title of current officers and//or board members: <br /> FG2e•'cGu ��vc�Lc,^i .'c " 50 <br /> ®r /1 G ->� ra<:� v� <br /> �/`y51c,�-,, , r/`z/,L, r e--�. — �r"� t S�•GCS_ �c�sti.ex,-e. r->(/«l'''C- <br /> f. <br /> 5 ..yei P , t; - A.)A ca, — -`J$c'i.4- .��f? C-J,,e_e�"='e e..,+s A' 19,,s'.b: C fi/�"`-r"�eo c c.3 of e– <br /> `'wee- � �.c,,Iter -- tet-4" 1- I A."441 - <br /> ti <br /> 3. How will the public be notified of this activity/event? <br /> ❑ Newspaper Advertisement $-Press Release <br /> ❑ Radio/TV Other(please explain)•- 1:z=s•t `.5; <br /> 4. Provide a budget summary of projected revenue and expenses for this event: <br /> Please note that fundraisers cannot be considered for partial or reduced fees and will be required to pay <br /> full rental fees on facilities.Events must not discriminate because of age,sex,marital status,race, creed, <br /> color,national origin or presence of sensory, mental or physical disability. No events serving alcohol will <br /> be co-sponsored by the City of Everett. <br /> Please allow 30 days for processing your request. Thank you. <br /> OFFICE USE ONLY BELOW THIS LINE <br /> t;t1, Approved <br /> El Approved with noted stipulations <br /> o Un pproved Pj )-6,-, . . <br /> iD Ili f itP <br /> fZeCreationifeetes Signature Date' l Application expiration date <br /> St.“-e cU i s o-( (No more than one year from date <br /> illiP of Assistant Directors signature) <br /> -creation Coordina or Signature Staff Liaison to event <br /> Category of use: I _Recreation Oriented Group function 0 Teen function category <br /> h Co-sponsored event/activity 0 Private rental <br /> ❑ Interagency/Inter-local Agreement 0 Other <br /> ❑ Charitable fundraiser(no fee reduction can be authorized by Park staff) <br /> Notes: <br /> 77 <br /> e•\:krnmmon\recreation\special use\2017 special use form and hold harmless.docx <br />