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• <br />• <br />is <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 applicable state and federal laws. I also understand that this application may be <br />denied based on any false or incomplete information. <br />Date: M TT Y- :�/ zC25 i <br />Applicant Signature: <br />Printed Name: U-�— I CJ P I !:—, M , a� <br />President <br />Member <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />Els" W �m <br />sm <br />WIN <br />(%I,1,-/etl,: /5r.4ek <br />Member <br />Date <br />