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<br /> .- , ;A", SPECIALPUSE REQUEST APPLICATION2019
<br /> TO BE USED FOR groups, organizations,persons requesting special use of any pail,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 code#
<br /> 9.06.104
<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 /> • A-dditionai park-reso-urces,-equipment-orstaffing-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 /> • A$25 processing fee maybe charged for this application
<br /> SECTION 1 /
<br /> Name of Organization See.-_771 .f . 6,,-/..he GAL-49 A550e-E..1,3
<br /> Contact Person ••, e44-1.. A4 fs
<br /> Current Address, City,State,Zip: 32 f) gq-elt"tie_. 0 �r w44 '?$ T7l
<br /> Phone(Area Code 0),R5:3 ?6`1-(Da°es Fax —' Email j gt i 1.5 -i4 C"- _ cc
<br /> Date(s)of Event(s) LAN cP f- les l Time(IN)7: 4. (OUT) 6 ;3D_p
<br /> Park Facility,Shelter,or Park Area Requested: A11 ,Acct.e,4 ce0,.. 4 /oc ..k
<br /> cease give a detailed description ofe activity or event.Attach additional pages if necessary: '
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<br /> Estimated attendance: /,52254- 2f 090 Target age group: 6--� 67ee� e,1 '�e
<br /> Is the event open to the public?,X"1 Yes 1 I No If yes,please complete Section#2 on reverse side of form
<br /> Will a fee be charged for event participation? Yes JA No What will fees be? A/4
<br /> How will money be collected? • Ae/A
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<br /> Is this a fundraiser? I I Yes[-AND If yes, please complete Section#2 on reverse side of form.
<br /> Will you be asking for donations? I I Yes 7 No Is the event recreationally oriented?j Yes No
<br /> Do you plan to close off any park area for your event?S Yes No Please specify area ,4fl , (tceC--,ss
<br /> de,;,-h 4 eca,.-i-efa FAD -i-k. How many vehicles do you anticipate? App ,c. ab ue.ke'c./ �
<br /> Are you Wining to amplify music or sound at your evente )C , Yes - No Please describe:
<br /> AiC3 Masre.. b�-f
<br /> PA -s + - �.t.set e E, 5 ,,9elea c. 114� C.f
<br /> Please note:Performer conduct and performance content,live or recorded,must be appropriate for J
<br /> families and general audiences.Profane,lewd,indecent or slanderous conduct or content is unacceptable.
<br /> WIl tents or other temporary structures be erected in the park or park area? $ Yes No A-TeG. EZ 15
<br /> Will vehicles need to be driven on grass? Yes jC No
<br /> Will additional toilet facilities be provided? ;.. Yes No I _5 .cf c.eEr.-
<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. m.5, . f4c.
<br /> • Provide a list of vendors,if any,participating in your event. F� Ve-t-cedenA '6-'1.,e.. e,,,_574,,,
<br /> • Attach a parking plan,if needed. -Aj/A
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<br /> S:1#Common\Recreation\FORMSIFACILJTIES12019 Special Use Form and Hold Harmless.docx g . - _ -- ._-.,
<br /> 42 v. �...........>...........
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