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2 <br /> • <br /> 47-7,�a SPECIAL USE REQUEST APPLICATION -20`18 PA ,i,� <br /> EEL7f47T7t1N NEL-REV:MN <br /> TO BE USED FOR groups,organizations,persons requesting special use of any park,park area or facility. <br /> Approval from the City of Everett for use of a park area is required when: • <br /> • 10%or more of any park area will be used for any activity or event/park code.#9.06.104 <br /> • Exclusive use of a park or park area will be used to the exclusion of the general public/park coda# <br /> 9.06104 <br /> • A park code is requested to be waived for a special event or activity/park code#9.06.108 and 9.06,112 <br /> • Additional park resources,equipment or staffing are requested _ <br /> • Requesting partial or full fee reductions for park areas or facilities(fundraisers are not eligible) <br /> (Separate applications must be filed for each type of activity or event for which you are requesting space.) <br /> SECTION 1 s� <br /> Name of Organization • r �S/ Or-' as eerel 4.5.54,6 f'&4_41,'0 <br /> Contact Person tij i Le,ti, <br /> Current Address, City,State,Zip: 2 167 'ct Lti,e4 18,3 7f <br /> Phone(Area Code) C) 7 -mad 6 Pax / 'Email ��� �� �,cQ�+��s r, c <br /> Date(s)of Event(s) ju(42 dt ' Time(IN)7.!Qe)a��-._(OUT) !; c��`'1`" <br /> Park Facility,Shelter,or Park Area Requested: /4/1 Q ���// A 7/0 ,a- p4k <br /> G^dv C S ,- pr�r k r Ic/ j cec sSi(t1 es,'t /tit/ <br /> l5reastg ive a detailed description of thd'activity or event.Attach additional pages if necessa <br /> --- P P I S tie <br /> Estimated attendance: / -- ., oc-5 Target age group: 6- fi 4.4-s 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? /VV,f A <br /> r <br /> is this a fundraiser? Yes . No If yes,please complete Section#2 on reverse side of form. <br /> • <br /> Will you be asking for donations? Yes ,?X No Is the event recreationally oriented?.;)<Yes No <br /> Do you plan to close off any park area for your event? X' Yes No Please specify area 41/ t oceis,S- <br /> oe S A �t��lin g -G- How many vehicles do you anticipate? 0,1'0A-- `f© uo 46 f! <br /> pt <br /> Are ou planniiiglo amplify music or sound,at your event? . ' Yes No Please describe: <br /> 1 45 04-6.5s. .+1 Gcsi P/ SGB�S cvr� 7-�w 41/4 e30 e "'CIL( r'b"f'T Jet <br /> .67 Please note: Performer conduct anlperformance content,live or recorded,must be appropriate for <br /> families and general audiences.Profane,lewd,indecent or slanderous conduct or content is unacceptable. <br /> Will tents or other temporary structures be erected in the park or park area? X •Yes Noa,scy <br /> Will vehicles need to be driven on grass? Yes X No <br /> Will additional toilet facilities be provided? Yes No Pc-,P" ` Pee> 1 <br /> If serving food to the general public,have you consulted with the Snohomish County Health Department to ensure <br /> your function/event is in compliance with their regulations? >( Yes No <br /> • Attach a site map to this application. _Se GGc <br /> • Provide a list of vendors,if any,participating in your event. - r-`l t� / ao file-c <br /> • Attach a parking plan,if needed, 3/4 <br /> Li <br /> S: ommon\Recre on\FORMS\FAOlLITIESt2O1&S eclat Use Form and Hold Harmless.docx = DEC3 P `;l <br /> 4 <br />