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RECEIVED <br />PARADES & SPECIAL EVENTS PERMIT APPUCATIOJjI^|^ ^ <br />' wi* v/nOi'JO <br />Permit #:I <br />Fee: $50.00 <br />Date Received: <br />Phone Number: U' ^^3' ^ ^33 <br />Name: \[Y\\\\<^(r / A^ie-r! c<S-tA. UiOL o<Sc^ <br />Address: 1(S '^OC'i (j(L Co ue ^ S>uUt7. 3> O 7 <br />City,State,Zip: ifW pi S____Ylf\ f\ *5 *5^(2 (p <br />Location of Parade or Event: a yv ^rQ Co fU/c&^ ^ <br />n^iL ^ue<xf LodJ i^Lhu ■ <br />Date of Event: U 'U *7__________ Hours of Event: _______________ <br />Type of Event:V'V" <br />Insurance Company:Amount: <br />(Copy of insurance certificate must be submitted with this application) <br />I am aware of all applicable State and other laws regarding parades and <br />special events and will abide by same. I also agree to hold the City of <br />Orono harmless from all liabilities that may arise directly or indirectly <br />from the parade of special event approved by the granting of this permit. <br />c:ismi <br />I understand some events may require off-duty or reserve officers and a <br />fee may be required for these services. <br />3-1-^*=^^ • 1 1 <br />Signature Date <br />Approved: <br />Remarks: <br />□Denied: □ Bv: <br />•• <br />i <br />1 <br />1 <br />i <br />010396.3