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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. 1 also understand that this application may be <br />denied based on any false or incomplete information. <br />• <br />Date: �j /j- / <br />Applicant Signature: <br />Printed Name: <br />SPECIAL EVENTS COMMITTEE APPROVAL <br />P <br />re� Me� r <br />Member <br />Member <br />�/ <br />i? / -.;?7 <br />Date <br />