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DATE 5.' - 9% 1 <br />BLOCK PARTY APPLICATION <br />CITY OF LINO LAKES <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 />NAME OF APPLICANT : Do u c Pam V `l + J <br />ADDRESS : (2'2j 51en 111 de <br />HOME TELEPHONE NO. : ( 067) 483 -5L/q <br />WORK TELEPHONE NO. : �- 47t1 i'n , (57) 213 -4S 70 DOU <br />LOCATION OF BLOCK PARTY (Street name & location, intersection to <br />intersection) <br />Culde-5c -c cif 61en Circle 6-E Trawl Sou.1 61enTnu ) <br />PURPOSE OF PARTY : ne.A jr\ cc + e r 5 <br />DATE AND HOURS OF PARTY: <br />IT IS HEREBY AGREED: <br />b'i2 -�� topv� <br />(Not to exceed 1 :00 P.M.) <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. Barricades. 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 />