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CITY OF LINO LAKES <br />SPECIAL EVENT PERMIT <br />NAME AND TYPE OF EVENT S(-1W (k_ <br />DAY, DATE AND TIME <br />1. PARKS AND RECREATION DEPARTMENT <br />Signature Title <br />Date <br />Please check or use N/A (not applicable) where appropriate <br />1. Final check has been made of application <br />requirements <br />2. Event is approved by City Council <br />3. All required permits are issued and on file <br />4. Refundable clean up fee has been paid <br />5. Insurance Certificate is on file with City Clerk <br />6. Surety Bond is on file to secure payment for <br />applicant's obligation to the City <br />7. Application is complete <br />8..Special conditions are attached <br />Ref: Spclevnt <br />10 <br />