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111111111.11111111111111111111111....M. -voinommi.,..-- <br /> It ,•M1 4''.. <br /> aj Eugene City r�Eugene <br /> Open Space s J public Works Parks and Open Space �� <br /> blit Works Parks and •J <br /> 20 Roosevelt Boulevard 1820 Roosevelt Boulevard <br /> gene, <br /> OR 97402Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> �J,�i�5 hi (gym `-/7 G< < L r <br /> game of Event: Name of Event: <br /> (o 1• Date(s) of Event: `",/ -______.:_._4,1L--- <br /> late(s) of Event: I I <br /> 'ark Location: <br /> • Park Location: ,f;. l'-,. �_ <br /> _ -- _ ____ <br /> Standard Use Permit❑$15.00 ❑ $30.00 $� Standard Use Permit❑ $15.00 ❑ $30.00 $ <br /> - 00 0 $80.00 - $ u_� Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> Use Permit 13:40.00 --- -- <br /> ecial -----__ <br /> Alton Baker Park Shelter#1 $— o'Alton Baker Park Shelter#1 i $ � <br /> $-9-1------ <br /> $________ <br /> a 5 t �lton Baker Park Shelter#2 $ �- <br /> ❑Alton Baker Park Shelter#2 rrA(ton Baker Turf Area# <br /> �Iton Baker Tom— $� $ <br /> o Hendricks Park Shelter $— o Hendricks Park Shelter $ <br /> o Owen Rose Garden $� a Owen Rose Garden <br /> o Owen Rose Garden with Chairs $ : o Owen Rose Garden with Chairs $________,o University Park $� a University Park $______❑ Other Facility Fee $_� a Other Facility Fee <br /> o Bike Path Access Permit <br /> Walk/Run/Bike Event Fee a Bike Path Walk/Run/Bike Event Fee $ <br /> _ _ - a Vehicle Access Permit❑ $10.00 ❑ $25.00 $ — <br /> Permit 0 $10.00 25.00 $� <br /> o Vehicle __--------- _ _ _ <br /> ---------- -------- -----------o ❑ Cash S.-- <br /> Fee <br /> � ------------------>--------------------- <br /> Fee(s) <br /> ----,Check# 3•V `�❑ Cash $ --____-- <br /> Feels) et eck#,�1� r Fees) (- <br /> Total $_______:_____b Total $ / 3.� <br /> City`of Eugene <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene,OR 97402 Eugene <br /> Park Reservation Receipt nn <br /> Name of Event: , 1.1( ?.� r t p ( . <br /> Date(s) of Event: ' /4 r/1 b <br /> Park Location: 1-113 *v <br /> -------------------___---------------------------- <br /> Standard Use Permit $15.00 ❑ $30.00 $ I.S. '— <br /> Special <br /> Special Use Permit o $40.00 o $80.00 $ <br /> o /jiton Baker Park Shelter#1 $ <br /> Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ <br /> o Owen Rose Garden $ <br /> o Owen Rose Garden with Chairs $ <br /> o University Park $ <br /> o Other Facility Fee $ <br /> o Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit a $10.00 ❑ $25.00 $ <br /> Fee(s) a Check# erCash $ I S. <br /> Total $ !S. <br /> t , <br />