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tkri6 <br />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 q - ILi —h - <br />APPLICANT <br />Name: <br />- C-Vl- <br />Address: <br />Phone: q 0'?q FAX: Email: Cf`uar/,&� <br />Signature: Date: b�/16 <br />EVENT INFORMATION <br />Address: <br />Date: <br />PROPERTY OWNER/MANAGER <br />Name: <br />Address: f <br />CG <br />'AN <br />Phone: GSD FAX: <br />'Num <br />07 <br />Email: 6 45 YNn eeaxom <br />Signature: _ Date: <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 />v a <br />(✓crr. e,&(W't&4"Ls k. Jo [ lOnn bv-4rcjc`x 4, Cis ;ti;ld I'll .// <br />la%e 4s, <br />6v <br />City Council Approval Date Clerk <br />❑ Yes ❑ No ❑ Yes with Conditions <br />Conditions <br />