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2. A/ppli�ation /'Information:n Name: lkPtcjtc GV Title: XizJA <br /> 4.-- <br /> p� <br /> Address: cD� SNfuei i 5 JL „hone: �d --OrYy <br /> Cell: E-Mail: /1(6dt K ® c�/-co,zj <br /> Affiliation/Organization: Pepe1#i- La e-a > /5 <br /> Are you an authorized applicant for this organization? Yes ' No <br /> Will this person have authority to cancel or modify event plans? Yes X No <br /> Will this person be present at the event and in charge of the <br /> event at all times? Yes W No x <br /> If no,provide contact information for the person who will be the responsible party on the day of <br /> this event: <br /> Name: Cg2 xL w Title: 4,))0(-5 WI- <br /> Address: 5O� fl7W5ô? <br /> rOGIA Pi 12L Phone: 763 7'l7q <br /> Cell: E-Mail: Lxr&O° ( 'L'capi <br /> V v <br /> 3. Entertainment: <br /> Describe entertainment plans. If there will be music, sound amplification or any other noise <br /> impact,please descri a including the intended hours. <br /> /O,ii-° 5peAkee, ko/ /21øc aQ e Dunc; Ades �cze <br /> 7cram pin om C(3423 <br /> 4. Sanitation/Drinking Water: <br /> Describe the toilet and handwashing facilities present on the site(type,number and location)as <br /> we�e�,,le- <br /> as tempo/rary/portable facilities to be��provided.Describe the source of drinking water. <br /> Isle- PIi7( r./.56 f9 1 174 Ie. raer 1,445 <br />