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• <br />AUG -21 -01 TUE 11 33 AM <br />WG• -16- 00i 12: al <br />FAX NO, 6126713426 P. 02 <br />CITY OF LINO LAKES 651 S32 2499 P.01/04 <br />DATE 6 /z20,/of <br />BLACK. J' i Y M J LJCtuTQN <br />CITY OF LINO LAKES <br />The foliowing application is herewith submitted to the City of Lino <br />Lakes, Minnesota, as a request to hold a block party on the public <br />night- of-way. <br />nAmr OF APPLICA1'1I' : =�^ 9,'L 'z - (\' <br />t <br />ADDRESS 1 L. "1 ‘, L Q1(U4_, & \ L <br />iHOKE TELEPHONE NO : 1.., ; 1 - L `.rr7)(;-. <br />WORK TELEPHONE NO. : 61a. - 6 � "' i� X ) <br />LOCATION OF DLOC . PARTY (Street name Ir location, intersection to <br />intersection) <br />U'O iktl,l.,yY(.. -MAIL- C. - \ Q. " sCc\.(_ <br />PURPOSE OF PARTY : _ k?-{‘) <br />DATE Ann HOURS OF PARTYt <br />of to exceed 10:00 P.M.) <br />IT 1.S HEREBY AOItE,IEDt <br />The applicants agree to abide by all rules set forth below, <br />together r Frith all ordinances and regulations which may be imposed <br />governing such activities. <br />1. petition. All residents living on the street or block in <br />which the activity is planned, must sign on the last page of <br />this application indicating they consent or do not object to <br />t:hs biock party. <br />2. Pn1-ric04_es.. Applicants shall be responsible for placement, <br />maintenance and removal of barricades to be provided by the <br />city in proper locations, such barricades to be left by the <br />City on one corner of the biock. Barricades, nhall be placed <br />Kt either end of the street in which the block party is to <br />take place. <br />PACE -1- <br />