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yAWAOTS <br /> City of EugeneCity of Eugene <br /> 'Public Works Parks and Open Space "�®• Public Works Parks and Open Space <br /> 6t <br /> 1820 Roosevelt Boulevard 1820 Roosevelt Boulevard <br /> Eugene,OR 97402Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> Name of Event: Of an / Name of Event: . ..1I ��S �+f <br /> , _ <br /> Date(s) of Event: • .' <br /> of Event: • 5 / <br /> Park Location: A I-r4h —_. Park Location: A- 6. # I <br /> Standard Use Permit.sa415.00 0 $30.00 $ /S_.-- <br /> Special Use Permit ❑ $40.00 ❑ $80. Standard Use Permit 05.00 ❑ $30.00 $ 15. <br /> -�-� Special Use Permit o $40.00 ❑ $80.00 $ <br /> ~— -00 $-�_�� <br /> � <br /> p4ion Baker Park Shelter#1 $ / 3 5 n Baker Park Shelter#1 $I'�S• /- <br /> 0 <br /> o Alton Baker Park Shelter#2 $_______ a Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ <br /> ❑ Hendricks Park Shelter $ 0 Alton Baker Turf Area# $ <br /> a Hendricks Park Shelter $ <br /> a Owen Rose Garden $_______ a Owen Rose Garden $ <br /> ❑ Owen Rose Garden Chairs (optional) $-- <br /> ❑ Owen Rose Garden Chairs(optional) $ <br /> o Washington Jefferson Park $ ❑Washington Jefferson Park <br /> ❑ Other Facility Fee ❑ Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $________ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit❑ $10.00 0 $25.00 $___ ❑Vehicle Access Permit 0$10.00 a $25.00 $ <br /> ❑ Event Security Deposit ^-r--�--_ a Event Security Deposit $ <br /> Y_ _ <br /> Fee(s) e-Check# O6 2 l a Cash $_______ <br /> Fee(s) check# I u{I6 ❑ Cash $ <br /> Deposit(s) ❑ Check# _❑ Cash $___ Deposit(s) ❑ Check# ❑ Cash $ /1 <br /> Total $_______ __V _' Total $ I SV•/ <br /> 1 <br /> 4ze,�• City of Eugene ,, City of Eugene <br /> s <br /> Public Works Parks and Open Space -� Public Works Parks and Open Space ..,, <br /> 1820 Roosevelt Boulevard ,' 1820 Roosevelt Boulevard gen, . <br /> Eugene,OR 97402 Eugene,OR 97402 <br /> Park Reservation Receipt . Park ReservationlReceipt� o� <br /> Name of Event: 1✓a rren d I UPS'f�-'y Name of Event: /45 �rn (V /14 <br /> Date(s) of Event: 7. Q3.Ho Date(s) of Event: • 3Q• I <br /> Park Location: _-_ Qr��n GN_+� �_ _ Park Location: 6'Lc (1_(Y • • <br /> Standard Use Permit o $15.00 a $30.00 $ Standard Use Permit o $15.00 ❑ $30.00 $ <br /> Special Use Permit ❑ $40.00 ❑ $80.00 $ _- � Special Use Permit ❑ $40.00 a $80.00 $ <br /> w __ <br /> a Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 $ <br /> ❑Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ a Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ <br /> ❑ Hendricks Park Shelter $ ❑ Hendricks Park Shelter $ <br /> ❑ Qwen Rose Garden $ o-Owen Rose Garden --- CYC $ 7 5. --- <br /> . <br /> sa' � <br /> Owen Rose Garden Chairs (optional) $ yU o Owen Rose Garden Chairs(optional) $ <br /> a Washington Jefferson Park $ ❑Washington Jefferson Park <br /> a Other Facility Fee ❑ Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ a Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit❑ $10.00 a $25.00 $ ❑Vehicle Access Permit a $10.00 ❑ $25.00 $ <br /> ❑ Event Security Deposit ___ <br /> Fee(s) a Check# <br /> a Event Security Deposit $ <br /> ____NN —^ a Cash $ 40.--- Fee(s)_ M 0-6eck# 55a—o Cash $ <br /> Deposit(s) a Check# _a Cash $ Deposit(s) a Check# o Cash $ <br /> Total $ )40. -- c•-• <br /> l Total $ 7S• <br />