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City of eugene <br /> ;Rye Eugene Public Works Parks and Open Space ` `� <br /> 'ublic Works Parks and Open Space 1820 Roosevelt Boulevard - .f <br /> 820 Roosevelt Boulevarde5t ~e� Eugene,OR 97402 <br /> :ugene,OR 97402 ' <br /> Park Reservation Receipt <br /> Park Reservation Receipt �nI <br /> Name of Event: As WS 6, I �n <br /> lame of Event: /L1,tn c.n A c�, D ' Date(s) of Event: le • IS. l <br /> )ate(s) of Event: L1/)L /)(s � Park Location: 1-it,t,�im-krN �_____-- <br /> 'ark Location: L,)r i t�. t, I etut- ---------- cJ - <br /> -- ------ --- - Standard Use Permit 0-$15.00 a $30.00 $ 15. <br /> tandard Use Permit o-$15.00 a $30.00 $ / CC Special Use Permit a $40.00 a $80.00 $ <br /> pecial Use Permit o $40.00 ❑$80.00 $ __-- — -- — <br /> ------- a Alton Baker Park Shelter#1 $ <br /> Alton Baker Park Shelter#1 $ a Alton Baker Park Shelter#2 $ <br /> Alton Baker Park Shelter#2 $ a Alton Baker Turf Area# $ <br /> Alton Baker Turf Area# $ a Hendricks Park Shelter $ <br /> Hendricks Park Shelter $ o Owen Rose Garden $ <br /> Owen Rose Garden $ $ <br /> Owen <br /> Rose Garden Chairs(optional) $ <br /> Owen Rose Garden with Chairs $ ❑Washington Jefferson Park ` " <br /> Washington Jefferson Park g-Other Facility Feel- <br /> ee �� S 1�z1I�Gh $ 9-5Other Facility Fee 0n(U• ti I-1-ey' $ ;-- S, o Bike Path Walk/Run/Bik Event Fee $ <br /> Bike Path Walk/Run/Bike Event Fee $ a Vehicle Access Permit a $10.00 a $25.00 $ <br /> Vehicle Access Permit a $10.00 ❑ $25.00 $ o Event Security Deposit $ <br /> Event Security Deposit $ _ , _-- _ ----------------- <br /> - — -_--- --~ Fee(s) erCheck#3012 ❑ Cash $ <br /> se(s) _a-Check# 11.7 ❑ Cash $ Deposit(s) a Check# a Cash $ <br /> :posit(s) o Check# a Cash $ i <br /> Total $ <br /> )-I G Total $ 0 <br /> • <br /> City of EugeneCityof Eugene <br /> Public Works Parks and Open Space .- Public Works Parks and Open Space . <br /> 1820 Roosevelt Boulevard 7 s❑!L7 1820 Roosevelt Boulevard Ects,I' <br /> Eugene,OR 97402 i Eugene, OR 97402 �: -4' <br /> Park Reservation ReceiptPark Reservation Receipti <br /> • Name of Event: C/LK (Q. ki't alit-L.6 Name of Event: 5 ASN ��r('rr �l �-0u?_l <br /> Date(s) of Event: j t.al 20_2 . Date(s) of Event: 5/11-/ /I C <br /> Park Location:— Jilt 4 _ Park Location: L. ,n IJ�i�ti I-�(�I�tl��„ �In.1/ � <br /> Standard Use Permit a $15.00 a $30.00 $ <br /> Standard Use Permit. 15.00 o $30.00 $ 15- CC <br /> Special Use Permit X0.00 a$80.00 $ 1.-I Special Use Permit a $40.00 ❑ $80.00 $ <br /> o Alton Baker Park Shelter#1 ____ -$—� o Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ <br /> a Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ ❑ Hendricks Park Shelter $ <br /> o Owen Rose Garden $ 0 Owen Rose Garden $ <br /> o Owen Rose Garden Chairs(optional) $ o Owen Rose Garden with Chairs $ <br /> o Washington Jefferson Park ❑Washington Jefferso Park <br /> o Other Facility Fee $ cher Facility Fee Lid( U�►'c,(Zt $ 4 <br /> 0 Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fe'e' $ <br /> o Vehicle Access Permit o$10.00 a $25.00 $ o Vehicle Access Permit❑ $10.00 a $25.00 $ <br /> o Event Security Depositep�ii $ o Event Security Deposit $ <br /> Fee(s) c heck# -_--�a'6ash $ I-10 ' Fee(s) a Check# 0-Cash $ I S. 6 6 <br /> Deposit(s) o Check# o Cash $ / Deposit(s) o Check# o Cash $ <br /> Total $ I .' <br /> � Total $ 5, CO <br />