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RECE/veo <br />^^6 I 0 2004 <br />C'TVOFOfiowo <br />I. <br />Special Event Permit Application <br />City of Orono <br />2750 Kelley Parkway <br />P.O. Box 66 Fee: $50.00 <br />Crystal Bay, MN 55323 Date Received: ^ ‘ ixfo*/ <br />Objective: To ensure the health, safety and welfare of the community.____________ <br />Type of Special Event (check all that apply) <br />□ Activity which generates parking needs <br />for more than 20 vehicles off site <br />□ Block Partym <br />□ Carnival <br />□ Circus <br />□ Commercial/movie shoot <br />□ Fishing Contest <br />□ Live Music - Noise Exemption <br />■ Marathon Event <br />O Parachute Jump <br />□ Parade of Homes/Home Tours <br />□ Street Parade <br />□ Theatrical performance or exhibits <br />□ Use of Public Property <br />□ Hot Air Balloon Event <br />______________________________^re4 Kur* 10 <br />Applicapt Information • » <br />Address A v £ <br />City, State, Zip: <br />Phone SlpSia <br />Organization (if applicable) <br />Address sno\K)or <br />City, State, Zip: <br />Phone ssa 0*183 <br />Event Details <br />Location:Lm%MLC^"TrAi \ M.S’ eifT H-b<ick -Cm** <br />Datets): ^^rfurelw <br />Hours: W.CO <br />Brief Description of Event: ............................ ............. ............ <br />Ce«vV<‘<i\ 1 tip \/^\C-6buf<i L <br />back. <br />t. *Ve> <br />Ao()l <br />lej: <br />Use additional paper if necessary. <br />I am aware of all applicable State and other laws regarding parades and special events and will <br />abide by same. I also agree to hold the City of Orono harmless from all liabilities that may' arise <br />directly or indirectly from the parade or special event approved by the granting of this permit <br />/ understand some events may require off-duty or reserve officers and a fee may be required for <br />these services. In addition, applicant agrees to pay actual costs up to $1.500for processing of application. <br />Signature <br />se services, Jn addition, applicant a; <br />atiirp I Date <br />i