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City of Lino Lakes <br />Parks and Recreation Department <br />7204 Lake Drive <br />Lino Lakes, Minnesota 55014 <br />SPECIAL EVENT PERMIT APPLICATION <br />1. TITLE, PURPOSE AND BRIEF DESCRIPTION OF <br />S, tlp6 j, DAYS' <br />Fuck 1s� , £.,fps: <br />Neeps <br />CONTACT PERSON: <br />EVENT: <br />X New Application <br />Com (9 5),E7WW1 <br />Renewal of or <br />Change in <br />Application <br />1'ET 1EPHONE : 786- 0912, OR (151 ` S.� 2 0 <br />2. APPLICANT AUTHORIZATION: <br />Attach a written communication from the organization(s) in <br />whose name the event will be advertised which authorizes you, <br />the applicant, to apply for this special event permit on <br />its/their behalf. <br />Applicant's Name: U4 4Lr -)741,1-r-ECIA Title Sr VP <br />Address: <br />323 S Ler„ 00D Cr Cjrde files ia.1,� ss aw y <br />Mailing Address: <br />Affiliation: (; �„ s Cl <br />Day Phone : 11(51-‘5..220 Evening Phone 9n ---40v2 <br />Emergency Phone: <br />7(8(9- 0112_ <br />She 0-g v�e <br />Ref: Spclevnt <br />Ldi )'/,5")-Z51 <br />1 <br />