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7 Parks and Recreation Departrnent <br />Approved by ; -,:o-L/.. -,:o-L/.. 1 / t (e-c, /r-i- =- - <br />Signature Title <br />Date CJ "sir- <br />v/ 1. Park permit(s) required (to be attached) <br />Balifield Usage Permit <br />0,9 3. Rea:ch permit required (to he attached) <br />Trash containers required <br />1/ 5. Po> ab7.e toilets required (,( <br />Appi icant: ' s plan for cleanup, site rest,oi .ion; <br />and material preservation (recycling) required and <br />attached <br />7. Other provisions as may be required by this dept. <br />8. Publ ice Works Depa <br />Approved by <br />Signature <br />6)1 <br />itle <br />Date -?/3((`f0 <br />1. Trash containers required (# <br />2. Portable toilets required (# <br />3. Special animal clean up required <br />4. Barricades provided, as available (# <br />5. Cones provided, as available (# <br />6. No parking signs provided, as available (# <br />Ref: Spclevnt <br />7. Applicant's plan for clean up and material <br />preservation (recycling) required and attached <br />15 <br />