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/901;TH g \rely VI JYYLII YGIIY JF/Gbt01 LYGIRl1`/�/�IMONVII <br />e <br />City and Regional Event <br />• �'"�_'� yiy�. 4C0 annlira+inn fop if filorl hfl riouc nr orna+or h m 4n Z/.fl rinvcl in nrlunnro of avon+ <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Bring Completed Application and Payment to: <br />ruuiit vJuries service �renier, ioi �. Laiayeiie oivu., wuu� oenu, iiv <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />ho erro�4ori <br />Section A - Applicant Information <br />/ <br />Date of Application: atf�171IA01tiF Organization Name: �✓RRK!}P>`rS <br />Applicant (Contact) Name: `I-v *A,( sT4A%1 &os <br />Applicant (Contact) Phone: lb 7V) 397- 6o8S Contact Email: 6�4AB�h/SA/ZL8 �! �l()fK1LPtl CONS <br />Adrlresc• 7/3 E..7cc &_v1& ri+y/c+.+A/ZIP• Sfl✓icf ar.V4,0 T/v if&6(7 <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your <br />event. <br />(lraani7a+inn Namc•%1,(( % �'�"Q Q/(��cS rnn+nr+Nnmc•,so ✓ <br />Contact Phone: 7& 7A Y0 Contact Email: <br />• Address: <br />City/State/ZIP: <br />C,ron+Al�mo •��u�E� � JL[�(J/, /(� F,rcn+T�rno• IFoc+i,r�l D.ro D,,�Ao /)+hoA: e1, 5HOW <br />Event Classification: 9 Non -Profit' ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): <br />'The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />onnliro+inn Tho riocrrin+inn ehni drl ho a enmmenr nvonrio,u 1 <br />rh+o of Fvon4 Co4n�[mm/rlrl /�nrl• O /z �2-r Ti,no• /2:00 NOW — S:00 PM <br />Begin Date of Event [mm/dd/yy]:Q9.1a9 Z7. ;k4t' Time: <br />End Date of Event [mm/dd/yy]: W AI Time: <br />• Event Cleanup Completion [mm/dd/yy]: O� 4ja flZ f Time: <br />Total anticipated attendance: // O <br />Tiic yi uNu�cu'ord,i'rvw ,cyuiic uic �iwnig ui. .auccro u.rwcvvain5 <br />00 Pw? - S: W P✓h <br />,S: v0 Or„ <br />67:30 ,PM <br />