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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:_Afl a,4 a?KO <br />Applicant Signature: <br />Printed Name: / 7(/// .1 • Aicet-y kk <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Pre ident Mem r Member <br />wl 4l� 6-44%;23 <br />Member Member Date <br />