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APrLICATION <br />PARADES and SPECIAL EVENTS <br />CITY'of ORONO, MINNESOTA 55323 <br />Date • /h/N4/ VC 19- Application Number__ <br />Name MLJ & _/fr�,j:5&-S 9S - /dip 576 S 9F <br />Address -- <br />Location of -Pere- or Event Ae!�AC-/ni��+/t <br />// -> fi' T -_ l-lJ/�� t �iYC�C 1S <br />Na:;e of Persons and,'or Organization:. Handling the Event _ <br />T-- <br />Phone Numbers_ T G.kS?wJ-Na►� A,G�E-Y7�-��C2� C�itsKci__Y.Z�_����Z __ <br />Date of Event �r,�(, /c'—. 19 55 Hours of Event_ Y;xc A'7. 7V $. re <br />Reason or Purpose <br />Insurance Coverage _-J�!7e'-'— <br />Co,mpanY __ � _._ c�.t7�c-✓_ <br />Copy of Insurance Certificates to be Submitted with this Application. <br />I am aware of all applicable State and other laws -larding Paraaes and <br />Special Everts 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 Parades or Special Event approved by the granting of this permit. <br />Fee: $25 �«,ya.� riG939 3ignatu a .rApplicant -- -_ <br />Fa Paid RECOMMENDED: Yeses No <br />((//< I <br />Date: r <br />Check --- <br />Cash I Pubi. Safety Dit <br />i <br />C Approved: Yes No <br />Initi�,;,,_ <br />Clark -Adam ; t rator <br />Office Use Only: <br />Re:- a:-ks : - - . __ -- <br />