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City of Eugene .,,-, <br /> A a Public Works Parks and Open Space "zory <br /> City of Eugene 1820 Roosevelt Boulevard a' <br /> Public Works Parks and Open Space <br /> %-:''I`J'g„� Eugene, OR 97402 <br /> 1820 Roosevelt Boulevard Eugene <br /> Eugene,OR 97402 <br /> Park Reservation Receipt <br /> Park Reservation Receipt <br /> fee-MOU (,{`�4- �w Name of Event: i( )D Lt rttName of Even: f {IIf/C y Date(s) of Event: /0 J /fb <br /> Date(s) of Eve Park Location: /fins cLt• <br /> Park Location: 4”b- _ _ <br /> ----------------- - <br /> ---------- <br /> - ---- <br /> _ ----------------'---------""-" Standard Use Permit X5.00 o $30.00 $ 15 --- <br /> Standard Use Permit d�15.00 ❑ $30.00 $______5,____/�. Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> Special Use Permit ❑ $40.00 o $80.00 $_ ____ <br /> ---------------------------------_------ <br /> $--" - o Alton Baker Park Shelter#1 $ '\ <br /> ❑Alton Baker Park Shelter#1 ---� ❑Alton Baker Park Shelter#2 <br /> o Alton Baker Park Shelter#2 $ I— ❑Alton Baker Turf Area# $ \ <br /> ❑Alton Baker Turf Area# $ ta'�lendricks Park Shelter $ <br /> ❑ Hendricks Park Shelter o Owen Rose Garden $ / <br /> o Owen Rose Garden $_____L_____ o Owen Rose Garden with Chairs $ ;/ <br /> o Owen Rose Garden Chairs (optional) $� o University Park $ <br /> ❑Washington Jefferson Park ❑ Other Facility Fee $ / <br /> ❑ Other Facility Fee $ ' <br /> 00 <br /> Bike Path Walk/Run/Bike Event Fee $�— <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ I $ I <br /> ❑Vehicle Access Permit o $10.00 ❑ $25.00 $ \ <br /> a Vehicle Access Permit❑ $10.00 ❑ $25.00 $$ I\ _ ----"_- -- ___-�-_ <br /> o Event Security Deposit _ Fee(s) ❑ Check# 0,Cash $ 15-. <br /> Fee(s) - r -❑ Check#- o Cash $_________ <br /> Deposit(s) ❑ Check# ❑ Cash $ Total $ - <br /> IU'ose <br /> Total $• ,2` __ Total <br /> A. <br /> ',ity of Eugene City of Eugene "m'� <br /> 'ublic Works Parks and Open Space Public Works Parks and Open Space `� <br /> 1820 Roosevelt Boulevard ., "q0" <br /> 1820 Roosevelt Boulevard <br /> %.' .;a1 <br /> :ugene,OR 97402 �:,� - Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> \lame of Event: I Wt)el,u I rD"f- Name of Event: to n Tra-ti 5 (� <br /> I' <br /> Date(s) of Event: 11/ t1/g)� 0 Date(s) of Event: <br /> � <br /> Dark Location: ' I 1 6. law") Park Location: 1 4#L uk O Te <br /> ------------------------------------------------------ -------------- <br /> Standard Use Permit❑ $15.00 ❑ $30.00 $ Standard Use Permit❑ $15.00 o $30.00 $ <br /> Special Use Permit 21$40.00 ❑ $80.00 $ 14 O. Special Use Permit 0.00 o $80.00 $ Li0_ <br /> i Alton Baker Park Shelter#1 $ ❑ Alton Baker Park Shelter#1 $ <br /> i Alton Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ <br /> 3 Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> 3 Hendricks Park Shelter $ ❑ Hendricks Park Shelter $ <br /> i Owen Rose Garden $ ❑ Owen Rose Garden $ <br /> Owen Rose Garden with Chairs $ ❑ Owen Rose Garden with Chairs $ <br /> University Park $ ❑Washington Jefferson Park <br /> Other Facility Fee $ ❑ Ofiier Facility Fee $ <br /> Ake Path Walk/Run/Bike Event Fee $ /5 mike Path Walk/Run/Bike Event Fee $ 7S. <br /> Vehicle Access Permit❑ $10.00 ❑ $25.00 $ ❑Vehicle Access Permit o $10.00 o $25.00 $ <br /> -_-__"_---_---_-W---_-"_-------------------------------- ❑ Event Security Deposit $________ - <br /> :ee(s) o Check#S ❑ Cash $ ----------------------------------------------------- <br /> 230_ 00 Fee(s) ECheck# 3 58.5 a Cash $__ <br /> r Total $ 1 1 5, Deposit(s) o Check# ❑ Cash $ <br /> 4/160 n -o. <br /> AV4U.>nn-r(i) Total $ t_ <br />