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DATE (e "" ` q/ <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 <br />ADDRESS <br />HOME TELEPHONE NO. : <br />WORK TELEPHONE NO. : <br />(41.4 (,aaSst- Nig UN) l,Gt -las <br />GO 4-21 qgt-7 <br />AfPc <br />LOCATION OF BLOCK PARTY (Street name & location, intersection to <br />intersection) <br />-Cite 11 CLu -t (cL ci sac) E LaCcext -. <br />PURPOSE OF PARTY : MaCji'irOr hat( 6tom par+q <br />DATE AND HOURS OF PARTY: <br />IT IS HEREBY AGREED: <br />Au_ -I O) pin -- lO :a) pry) <br />(Not to exceed 10:00 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 />