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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 <br />edenied based on any false or incomplete information. <br />Date: <br />Applicant Signature: <br />Printed Name: <br />Pr 'dent^ G �^ <br />, <br />Member <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Member \\� <br />r <br />Membe <br />Member <br />-7-4- *;L -f <br />rr.� <br />