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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: <br />Applicant Signature: <br />Printed Name: <br />� � 1 <br />• Member <br />11 <br />A <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Member // <br />Member /(/� <br />Member _ <br />/'- //-A 5 <br />Date <br />