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• <br />• <br />0 <br />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 anyfalse or incomplete information. <br />Applicant Signature: <br />Printed Name: l 1" I' l.j 5 <br />Pr ident t A <br />�t <br />Member <br />SPECIAL EVENTS COM�tYTiEE APPROVAL <br />Member <br />Member <br />WOMAN) AI <br />-/-/ /-.2 3 <br />Date <br />