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I have notified all property owners within 500 feet <br />of the date, time, and location of my special event: <br />A policy or certificate of insurance on which the city, its agents and employees, are additional insureds, providing public liability <br />insurance providing umbrella or all perils coverage in the amount of $1,000,000.00. <br />Certificate of Insurance: Select File <br />Certificate of Insurance-Orono.pdf tl> III <br />Proof of possession of any license or permit which, under federal, state or local laws or regulations, the applicant is required to <br />have in order to conduct the parade or special event, or which, under any such law or regulation, would exempt the applicant <br />from the licensing requirements of Orono City Code Sec. 66-223. <br />Attach Supplemental Licenses/Permits: Select File <br />Fireworks Operator License Netzley.pdf tl> III <br />Applicant Signature: signature.png III <br />Quantity Fee <br />Special Event Permit Fee <br />Fireworks Fee <br />Description IE:mount <br />Total <br />100.00 <br />250.00 <br />Plan Check Fees: <br />350.00 <br />Other Fees: <br />0.00 <br />Total Fees: <br />350.00 <br />MEM -1 <br />B Payments 8 'C <br />Date Type Reference Note Receipt # Received From Amount <br />10/30/2021 Credit 30202110546 1496 Hollywood Pyrotechnics, Inc 350.009 <br />Amount Paid: 350.00 <br />Balance Due: 0.00 <br />