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City of Eugene �� City of Eugene ;►ifALN <br /> Public Works Parks and Open Space ,-;.01aPublic Works Parks and Open Space .�� <br /> 1820 Roosevelt Boulevard 1820 Roosevelt Boulevard +• <br /> Eugene,OR 97402 Eugene,OR 97402 `{ <br /> Park Reservation Receipt Park <br /> Park Reservation ReceiptCQ- <br /> Name of Event: &Y P O{ f — h r f1'�(h t Name of Event: J� R -V(NC j-M— <br /> Date(s)of Event: to 112. /I a 1 Date(s) of Event: S•13 I(a 0 <br /> Park Location: A 13 4- 2— Park Location: k)I l?. # l • <br /> Standard Use Permit-21-15.00S <br /> 5.00 ❑ $30.00 M$ ' ." - Standard Use Permit-o$1.00 a $30.00 $ 15". <br /> Special Use Permit ❑ $40.00 a $80.00 $ Special Use Permit o $40.00 ❑ $80.00 $ <br /> o Alton Baker Park Shelter#1 $ 2-ton Baker Park Shelter#1 $ t 35 <br /> ❑'Alton Baker Park Shelter#2 a Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ a Alton Baker Turf Area# $ <br /> a Hendricks Park Shelter $ a Hendricks Park Shelter $ <br /> 3 Owen Rose Garden $ o Owen Rose Garden $ <br /> 3 Owen Rose Garden with Chairs $ ❑ Owen Rose Garden Chairs(optional) $ • <br /> o Washington Jefferson Park ❑Washington Jefferson Park <br /> 3 Other Facility Fee $ o Other Facility Fee $ <br /> 3 Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> 3 Vehicle Access Permit a $10.00 o $25.00 $ ❑Vehicle Access Permit o $10.00 a $25.00 $ <br /> 3 Event Security Deposit $ a Event Security Deposit $ <br /> =ee(s) o Check# ❑-Cash $ IS. Fee(s) o Check# 2-Cash $ /50- <br /> )eposit(s) a Check# a Cash $ Deposit(s) o Check# a Cash $ <br /> Total $ 1 u . Total $ / 5u' <br /> ty of Eugene City of Eugene <br /> &blic Works Parks and Open Space <br /> 120 Roosevelt Boulevard .,rte Public Works Parks and Open Space , <br /> igene,OR 97402 vIoXate' 1820 Roosevelt Boulevard l <br /> Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt• <br /> n <br /> ame of Event: Se re h il'1 L A la_r"n /�, I'i c,".4.4_ Name of Event: of S Q 11 5 3rd g•Da,�.; &AA <br /> ateb Date(s) of Event: 6 I�5/l l u I <br /> irkrk LL)ocaaof Event:tion: f�I•))�-I tv� 6Z------------------------------_-- Park Location: A l{ 6# '- <br /> andard Use Permit o $15.00 o $30.00 $ Standard Use Permit ae$15.00 a $30.00 $ 1 5, <br /> lecial Use Permit- 40.00 a $80.00-- $ 1 ,- tom <br /> _ -- Special Use Permit o $40.00 o $80.00 $ <br /> Alton Baker Park Shelter#1 $ �' <br /> Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#1 $ <br /> Mon Baker Turf Area# $ >o-Alton Baker Park Shelter#2 $ /b O. <br /> iendricks Park Shelter $ a Alton Baker Turf Area# $ <br /> )wen Rose Garden $ a Hendricks Park Shelter $ <br /> )wen Rose Garden with Chairs $ ' ❑ Owen Rose Garden $ <br /> sN'Vashington Jefferson Park a Owen Rose Garden with Chairs $ <br /> )ther Facility Fee $ <br /> a Washington Jefferson Park <br /> like Path Walk/Run/Bike Event Fee $ a Other Facility Fee $ <br /> 'ehicle Access Permit a $10.00 a $25.00 $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> :vent Security Deposit $ a Vehicle Access Permit a $10.00 a $25.00 $ <br /> _____—_—_________—__-_w _ ❑ Event Security Deposit $ <br /> ?(s) a'Check# 15510 ❑ Cash $ I 5. Fee(s)— ❑ Check#~ _ — a Cash $ <br /> )osit(s) a Check# ❑ Cash $ Deposit(s) a Check# o Cash $ <br /> Total $ S. <br /> Total $ / "7 S <br />