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05/19/2003 17:08 FAX <br />DATE // Z-00 <br />ffk..J,- <br />BLOCK ran ArrucAnoN <br />CITY OF LINO LAXE8 <br />[fool <br />The following application is herewith submitted to the City of Lino <br />Lakes, Minnesota, as a request to hold a block party on the public <br />right --of -way. <br />NU -0F APPLICANT 1 JiA vt 6 s3 Loth -( 4kes sfviv <br />HONE TELEPHONE N0. : , 51- Yv s-- 0 Ti Sr <br />WORX TELEPHONE go. : <br />LOCATION OF BLOCX PANTY (Street name & location, intersection to <br />intersection) <br />,L <br />e. --t do 5-ac bloc <br />PURPOSE or PARTY : Try . h�.•'SF�'.�►'d ✓ .c�ts•L• <br />DATE AND HOURS OF PARTY: <br />(N <br />2/E 2.ov 3 5-.'0o mil = Cc)1 <br />t 10 exceed 10:00 P.M.) <br />IT IS HEREBY AGREED: <br />The applicants agree to abide by all rules set forth below, <br />together with 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 />the block party. <br />2. Derricades. 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 block. Barricades shall be placed <br />at either end of the street in which the block party is to <br />take place. <br />PAGE -1- <br />