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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: 03/23/2023 <br />�I Digitally signed by Jo Ellen McCoy <br />Applicant Signature: ------ Date: 2023.04.14 16:26:00-04'00' <br />Printed Name: JoUcCoy, Assistant Director <br />Pr i ent <br />---—ttk-- -- <br />• Mem er <br />r-1 <br />LJ <br />SPECIAL EVENTS COMMI "EA ROVAL <br />Member <br />Member <br />Membe? <br />Date <br />