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PCity of FFEB <br />equot 2 3 2023 lul <br />Lak�S � <br />SPECIAL EVENT PERMIT APPLICATION <br />1. Today's Date: <br />2. Applicant Name (Contact): ftellon4 LCLL', pad <br />/o do►.%.,tk -Y j .tibr. cco� <br />3. Applicant Address: ' ' 9 / �� } Us. AA K I S 6- y 7 g. _ <br />4. Applicant Daytime Phone: Applicant Email: <br />S. Event Coordinator: Phone <br />6. Name of Event: n S1 \ <br />7. Event Location: TCa <br />8. Description of planned activities including entertainment, music, amplified sound, food, and <br />beverage service to be held on the dosed street: <br />MIA S t �CLLiL`� - - - �Y�A L�s_ 4 S1& A <br />9. Dates of Event: 1Kh IA\ 3! j. Q pa?, Starting Time: fi n, Ending Time: <br />10. Setup Time: ,1' bQ pm �- Ll:tO N Take Down Time: 7:Do- 8.aI) i�r%. <br />11. Request to Close City Street - Name and exact location of Street to be closed: <br />12. Exact Dates and Hours that Street will be closed: <br />13. Site Clean -Up - Removal of all equipment and dean -up of the area must be completed by the <br />event participants <br />S:\Administration\Licenses\Special Event Permits\Special Event Application.doc <br />