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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 anyfalse or incomplete information. <br />Date: —) 1 i,-� U <br />Applicant Signature: <br />Printed Name: <br />President <br />• Member <br />40 <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />\ 1 <br />Mfimber <br />1 <br />mber <br />— <br />: ��- W- <br />Member <br />f-/-123 <br />Date <br />