Laserfiche WebLink
I have read the Application and the Permit and Agreement for this Special Event and I affirm the truth of <br />the information provided by me to the best of my knowledge. I understand and agree to the above rules <br />and regulations, and any applicable state and federal laws. I also understand that this application may be <br />denied based on any false or incomplete information. <br />Date: 04/07/21 <br />K <br />Applicant Signature: _____---__— -------------- <br />Printed <br />----_ <br />Printed Name: Leonarda Alcantara Hernandez <br />-.../ ";Z;'�- <br />President <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />--�----- <br />Meer <br />M emberLJ <br />Member Member Date <br />