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tk <br />tynl' <br />go Special Event Permit Application <br />Hugo City Hall, 14669 Fitzgerald Avenue North, Hugo, MN 55038— Phone (651) 762-6300 — FAX (651) 426-2859 <br />Application Fee: $75.00 <br />PAID 3-14-16 <br />APPLICANT <br />Name: '�I—y-es C --Lk 'k4F' xL( ���GL� <br />Address: <br />Phone:':A'K--)1''E-,8k - R-DAi-\ FAX: Email: <br />Signature: <br />EVENT INFORMATION <br />Address: <br />Date: <br />PROPERTY OWNER/MANAGER <br />Name: <br />Address: <br />Phone: <br />Signature: <br />FAX: <br />Date: <br />Email: <br />DESCRIPTION OF EVENT <br />Please review the items on the check list on the back of the application for information that is required to make this application <br />complete. If there is not enough room below to describe the event please submit on a separate sheet of paper. <br />City Council Approval Date Clerk Signature <br />11 Yes 0 No ❑ Yes with Conditions <br />