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4. Licensing and Insurance <br />Approved by <br />Date <br />Signature Title <br />1. Dance and /or live entertainment <br />List types or permits or licenses required <br />2. Alcoholic beverages <br />3. Peddlers <br />4. Noise abatement <br />5. Other provisions as may be required <br />INSURANCE: Your insurance coverage must be reviewed and <br />approved by the City's insurance carrier <br />1. Public liability insurance naming City of Lino Lakes <br />and other public agencies as additional insured <br />is required <br />2. Hold harmless forms executed and filed <br />3. List and approve /dis- approve other insurance <br />coverage as may be required <br />5. Fire Department <br />Approved By �� / Jo <br />Date <br />Signature <br />Ref: Spclevnt <br />1. Emergency vehicle access <br />13 <br />nn <br />- /r� % <br />Tit e <br />