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� <br />cuy of <br />Pequot <br />Lakes ._ _ <br />SPECIAL EVENT PERMIT APPLICATION <br />l. Today's Date: <br />2. Applicant Name (Contact): <br />3. Applicant Address: <br />4. Applicant Daytime Phone: Applicant Email: <br />5. Event Coordinator: Phone # <br />6. Name of Event: <br />7. Event Location: <br />� <br />8. Description of planned activities including entertainment, music, amplified sound, food, and <br />beverage service to be held on the closed street: <br />� <br />9. Dates of Event: Starting Time: Ending Time: <br />10. Set Up Time: Take Down Time: <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 clean-up of the area must be completed by the <br />event participants <br />463£3 Cot?rm' Ronn ]]• I'FQurn' Lnt�ti, MN 56472 •(218) 568-5222 • F�ix: (218) 568-58C0 • wv«v.pequodakes-�nn.gov <br />