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Hugo City H. <br />APPLICANT <br />Name: <br />Address: <br />of <br />S <br />Event Permit Application <br />14669 Fitzgerald Avenue North, Hugo, MN 55038—Phone <br />762-6300 — FAX (651) 426-2859 <br />Application Fee: $7 .00 <br />PAID <br />y-zCl-« <br />Phone: (Q -V- FAX: Email:- 'xe4 L UC.*tny_fCr^�$/�� rq �awt <br />Signature: < Date: <br />EVENT INFORMAL O <br />Address: �(S' (ct� (p k, *' <br />Date: 17 U.,UL q4_1 . pLC <br />PROPERTY OWNER/MANAGER <br />Name: �Lh qv i� �+^� <br />E"r+c <br />� <br />(� <br />-61V <br />FAX: bSt- U9- g6[Sy 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 />❑ Yes ❑ No 11 Yes with Conditions <br />