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r <br />HENNEPIN COUNTY SHERIFF’S WATER PATROL <br />SPECIAL EVENT PERMIT REQUEST <br />WRITTEN PERMISSION IS REQUIRED FROM THE CITY OR MUNICIPALITY <br />I IN WHICH THIS EVENT IS TO BE HELD. PLEASE ATTACH WRITTEN <br />PERMISSION TO THIS APPLICATION. THE PERMIT CANNOT BE ISSUED <br />WITHOUT THIS PERMISSION. <br />The following information is necessary to insure the proper and <br />accurate issuance of your permit. Please complete this form in <br />its' entirety, and return it to our office at P O Box 187 (4141 <br />Shoreline Dr), Spring Park MN 55364, as soon as possible. <br />Please PRINT or TYPE. <br />ORGANIZATION HOLDING EVENT: <br />CHAIRPERSON -PERSON IN CHARGE: <br />Address: <br />Phone: (Day) <br />zip. <br />(Night) <br />EVEirr NAME: <br />EVENT TYPE: <br />DATE(S) of EVENT: <br />TIME(S): <br />EVENT LOCATION (body of water): <br />specific area: <br />INSURANCE INFORMATION: A copy of the insurance policy must <br />be submitted with the permit request. The permit cannot be <br />issued without the insurance policy. Limits of liability <br />must be a minimum $200,000 per person & $600,000 per <br />single incident. <br />EVENT INFORMATION (numbers of persons, type of activity, parking <br />location, etc.): <br />OFFICER OR AUTHORIZED AGENT'S <br />SIGNATURE <br />TITLE <br />SEP.SEP