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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 />r1 <br />U <br />0 <br />Date: it <br />S <br />Applicant Signature: <br />Printed Name: <br />Member <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Member <br />Member/ <br />M//em r <br />Date <br />