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93376
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93376
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4/19/2016 3:36:13 PM
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I <br /> 1 ) <br /> ,�,��, City of Eugene 1 <br /> of Eugene OpenSpaceace �� Public Works Parks and Open Space <br /> 0 Roorks Parks and Ope P es?!� 1820 Roosevelt Boulevard <br /> 0 Roosevelt Boulevard Eugene,OR 97402 <br /> gene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> ,me of Event: ► Name of Event: AAA '.4� <br /> of Event INN/ Date(s) of Event: �� � <br /> ite(s) -uG�� _ Park Location: - - <br /> �rk Location: ^___ ---- "------ __ --------------_________— <br /> pedal <br /> a_ �_� M_ - —��_�_---- <br /> Standard Use Permit o $15.00 ❑ $30.00 $ <br /> :andard Use Permit❑$40.00 o $80.00 $� Special Use Permit o $40.00 o $80.00 $ <br /> �ecial Use Permit ___---- Special <br /> ��__- <br /> ------^ $�— ❑Alton Baker Park Shelter#1 $---- <br /> Alton Baker Park Shelter#1 $—_ $ <br /> Alton Baker Park Shelter#2 o Alton Baker Park Shelter#2 <br /> Alton Baker Turf Area# — <br /> o Alton Baker Turf Area# $ <br /> ndris Rose Gardenelter $�_ o.-l4dricks Park Shelter G ' $ <br /> � o Owen Rose Garden [[ +rr� -- <br /> Owen $� 0 Owen Rose Garden with Chairs $_-- <br /> 'Owen Rose Garden with Chairs ° Owenin sJefferson Park $ <br /> 3 <br /> 'Washington Jefferson Park $� 0 Other Facility Fee <br /> 3 Biker Facility Fee $� 0 Other <br /> Bia PathFWalk/Run/Bike_ Bike Event Fee $_._-- <br /> 3 Vehicle A cess Permitke$10.000t Fee <br /> $— I ❑Vehicle Access Permit o $10.00 0 $25.00 $__ <br /> 3 EtAccess Permit 0 $25.00 $--� o Event Security Deposit _ -__—_ <br /> Event Security —____-� c-v M�_��M__ --- <br /> �heck# —° Cash $�� Fee(s) 0 Check# _ash $___ <br /> Fee(s) ° Cash $� 0 Check# ❑ Cash $ <br /> Deposit(s) ❑ Check# Deposit(s) <br /> Total $ ---- <br /> , <br /> � Total $___ <br /> �d ro, Cri <br />
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