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n <br />C� <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 appkcable state and federal laws. I also understand that this application may be <br />denied based on any false or incomplete information. <br />Date: 91 as <br />Applicart Signature: <br />Printed: A),//,[2 w LA� <br />f', YOS�CA VIOCO [II[Il ti{t-AU Ill\� <br />