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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 />1 • - 1: 1. 1 <br />Applicant Signature: fD44"r _ } .� <br />Printed Name: Debra Gaul <br />CJ <br />0 <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Me ibey� <br />r <br />Member <br />Member <br />Y 1131; <br />Date <br />