Laserfiche WebLink
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: (c/;L / '903S <br />Applicant Signature: / «!�-� <br />Printed Name: M i Gl ea d f! INC a <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Member, iL <br />Member <br />Member <br />6/ s/2h- <br />Date <br />