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,..:., _ <br /> EMIL- <br /> City of Eugene --.,� City of Eugene <br /> Ffublic Works Parks and Open • - „ ' ^ Public Works Parks and Open Space ��' <br /> 1820 Roosevelt Boulev- �''" 1820 Roosevelt Boulevard ' UC <br /> ugene, OR 9740 —T^ .-a,.- Eugene,OR 97402 A I17! _ <br /> Park Reset ation Recei• Park Reservation Receipt Phi ra.. a <br /> Jame . Event: . I l\ # .z A _ �u. t-� Name of Event: Pi�(� IG t-h '7 KQ I <br /> )ate of Event: - S Date(s) of Event: 11/1211 <br /> 'ark Location: _,J• r4/ ' LcP Pa-- Park Location: /k• P' .-2 <br /> standard Use - -rmit o $1 '0 o $30 • $ Standard Use Permit o $15.00 o $30.00 $ <br /> special Use ' -rmit ' ..00 o$: ..00 $ yD — Special Use Permit o $40.00 l) <br /> 0.00 $ .r <br /> Alton B- er Park elter#1 o Alt n Baker Park Shelter#1 $ <br /> Alton : =ker Par .helter#2 $ ...k-Alton Baker Park Shelter#2 $ /( 0. --- <br /> Alton .aker Tu• Area# $ o Alton Baker TurffArea# $ <br /> Hen• icks P_ Shelter $ o Hendricks Park Shelter $ <br /> Ow n Ros: arden $ o Owen Rose Garden $ <br /> O -n R•• - Garden w'. Ch. s _ o Owen Rose Garden Chairs (optional) $ <br /> W. - on Jefferso, 'ar o Washington Jefferson Park <br /> Other Facility Fee $ o Other Facility Fee $ <br /> Bike Path Walk/R /Bi - Event Fee $ _fi o Bike Path Walk/Run/Bike Event Fee $ <br /> Vehicle Access •-r . o$10.00 0 $ •.00 '. o Vehicle Access Permit o $10.00 o $25.00 $ <br /> Event Security ' ep' it .. o Event Security Deposit $ <br /> W <br /> e(s) heck# 3 51 o -sh $ Fee(s) deck# o Cash $ . <br /> :posit(s) a Check# . ash $ ��- Deposit(s) o Check# o Cash $ <br /> Total '.�" 1 C waA 4315- a otal $ �`Pqp <br /> • <br /> Gv i <br />