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t , n <br />HUgo 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 -Z%- � <br />APPLICANT <br />Name: <br />/' o Lx, -N C <br />Address:/ /7' d 0 s� Frxs)— B)�CA <br />Phone: //(,2 —FAX: ID51`74 ' / 7/ 5 --Email: �IG(;�li SYS ► hV' ✓h <br />,1 <br />Signature: <br />EVENT INFORMATION <br />Address: `/ <br />Date: <br />PROPERTY OWNER/MANAGER <br />Name: L-' &-y "VS <br />Date: <br />Address: 3 nAviz, All 6-3-D 5 b <br />Phone: �� �D " �� FAX: Email: <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 thejgyRnjp lease submit on a separate sheet of paper. <br />cl4w 5h /1 a i?w <br />man <br />7-1-% <br />JI y . A) <br />iL <br />