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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 based on any false or incomplete information. <br />Date: 7/19/2021 <br />Ericka Ducret Digitally signed by Ericka Ducret <br />Applicant Signature:___________ Date: 2021.07.19 13:20:00 -04'00' <br />Printed Name: Ericka DUcret <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />rwdialft..- <br />r <br />u. - <br />Member <br />1,>nzn <br />T Vl <br />xf ------------- <br />Memb <br />V3-ai <br />Date <br />