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Date <br />BLOCK PARTY APPLICATION <br />The following application is herewith submitted to the City of Lino Lakes, Minnesota as a request to <br />hold a block party on the public right -of -way. <br />NAME OF APPLICANT : <br />ADDRESS : L493 P1 ( L- - <br />TELEPHONE NO. <br />_ �_ . ZHOME) - (WORK) <br />LOCATION OF BLOCK. PARTY (Street name & location, intersection to intersection) <br />PURPOSE OF PARTY: .0 <br />DATE OF PARTY: <br />a <br />1 <br />TIME OF PARTY: From (D p -r-- -, To <br />(not to exceed 10:00 p.m.) <br />