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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 />• <br />Date: '0 <br />Applicant Signature: <br />Printed Name: u ti &� <br />• <br />e . v\ <br />Preside t <br />• Member <br />• <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Member <br />Ifi0/% <br />Date <br />