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t-im6F <br />Special Event Permit Application <br />Hugo City Hall, 14669 Fitzgerald Avenue North, Hugo, MN 55038 - Phone (651) 762-6300 - FAX (651) 426 -2i -5 -9 - <br />Application Fee: $75.00 <br />PAID S 1Z-iL, <br />APPLICANT <br />Name: <br />Address: �200 <br />Phone: `/e2-335- <br />Signature <br />EVENT INFORMATION <br />Address: jZo-1/2 <br />Date: <br />PROPERTY OWNER/MANAGER <br />Name: <br />FAX: ike?- 73f- % /G%.Email:SCc7 S✓�tN(4/hmSS.ot� <br />Address: <br />Phone: FAX: <br />Signature: <br />DESCRIPTION OF EVENT <br />Date: ` /,a -/&/ <br />Date: <br />Email: <br />9 <br />Please review the items on the checklist on the back of the application for information that is required to make this application <br />complete. Ifthereis not enough room below to describe the events please submit on a separate sheet of paper. <br />/'/-r �rd A;Toes / 1rorVClji�-c Qa -AL ovif4-e- <br />A"04(LAL .C4 7-%4/ , / QH.-/ f� T-LeLNorl <br />/h Y--dr-5;c o;' S . y� rio4rrrf 6e74�-e,,.. <br />City Council Approval Date Clerk Signature <br />❑ Yes ❑ No ❑ Yes with Conditions <br />