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r� 1 l s. CcAa�e4S2ATION <br />PARADES and SPECIAII (EVENTS <br />CITY of ORBN� 5 MINNESOTA 55323 <br />Date: `n-�— Application Number - <br />Name R, U, {E.-k F� <br />Address 1111 S. ST. a 20 MN S 41S' - <br />Location of <br />Parade or Event HA&Lzam <br />YnRk OH W" <br />UP—L's", <br />LAk <br />Tu oeaz,6d <br />k Narmu _Tj Ok"mzp LAND <br />W?3r <br />To m'm <br />1�c�G.*,iTlc <br />p��-�u:*li <br />Vat — <br />Name of Persons and/or Organizations Handling the Event MINAAESo,-A D.J.-Aait <br />Phone Numbers 511 UJw <br />Date of Event 19 Hours of Event n <br />Reason or Purpose IiA k 6�g_ 6:t,) <br />Insurance coverage TAc.-/UJA <br />Amount I M",O. <br />Company <br />Copy of Insurance Certificates to 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 lizjllities that may arise directly or indirectly <br />from the Parade or Special Event approved bYj��Jthe gra iinng of this permit. <br />11� <br />Fee: $25.00 - Signature of Applicant <br />Fee Paid: <br />Date: ,19 <br />check <br />Cash <br />Initials <br />Office Use Only: <br />Public Safety Director <br />Approved: Yes_ No <br />Clerk -Administrator <br />Remarks: <br />