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City of <br /> Pequot <br /> Lakes <br /> PARK RESERVATION FORM: <br /> Contact Name: IsActlisek fl C(3V c <br /> Non-Profit Group: — RAX( 't' 1 <br /> Contact Information: Phoneu19•a)a'Q1 57/30 e-mail k�?10. @l ie ho0' CA14"1 <br /> Event Name/nt.'Orl . 5-03,;(-) vt,„,- 1.A. -010,f SH 1 Co <br /> Trailside Park-Picnic Shelter: ✓ Trailside Park-Band Shelter: <br /> Sibley Park_ Electricity Needed: YES cmm <br /> Date and Time:fY"1AQt 'l9 'DDJ Le •DoEcock 81'3 ‘‘:Do E <br /> List planned activities Rota Reqs -krotAiA✓) h 9A0(-12.+ Rex_ up <br /> Will you be selling or serving Food? If so,in what capacity? RP_ <br /> (If food is being sold,contact the Minnesota Department of Health at 320-223-7300) <br /> 1. Call City Hall at 218-568-5222 to reserve the Park. <br /> 2. Contact the DNR at 218-833-8715 for a special event permit to use the Paul <br /> Bunyan Trail (The DNR will also require a certificate of insurance). <br /> SMdministration Rescrvationspark Rcservations\PARK RESERVATION FORM.doc <br />