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City of Eugene . <br /> City of Eugene , Public Works Parks and Open Space <br /> Public Works Parks and Open Space ' ; 1820 Roosevelt Boulevard �d , <br /> 1820 Roosevelt Boulevard • 1 4106' Eugene,OR 97402 v.tib."4 <br /> Eugene,OR 97402 _ `� <br /> Park Reservation Receipt Park Reservation Receipt <br /> Name of Event: , ) - y-%% <br /> Name of Event: Dates) of Event: I. ;- <br /> Date(s) of Event: '+ Park Location: =r ; ,rzi i <br /> Park Location: <br /> Standard Use Permit a $15.00 a $30.00 $ <br /> Standard Use Permit❑ $15.00 ❑ $30.00 $ <br /> Special Use Permit x$40.00 ❑ $80.00 $ 4.). '-- <br /> Special Use Permit a $40.00 o $80.00 $ <br /> ❑Alton Baker Park Shelter#1 $ <br /> a-Alton Baker Park Shelter#1 $ i ❑Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Park Shelter#2 $ o Alton Baker Turf Area# $ <br /> Alton Baker Turf Area# $ ❑ Hendricks Park Shelter $ <br /> ❑ Hendricks Park Shelter $ ❑ Owen Rose Garden $ <br /> D Owen Rose Garden $ o Owen Rose Garden with Chairs $ <br /> D Owen Rose Garden with Chairs $ o University Park $ <br /> D University Park $ ❑ Other Facility Fee $ <br /> D Other Facility Fee $ o=Bike Path Walk/Run/Bike Event Fee $ , <br /> aBike Path Walk/Run/Bike Event Fee $ a Vehicle Access Permit❑ $10.00 o $25.00 $ <br /> Vehicle Access Permit a $10.00 ❑ $25.00 $ <br /> Fee(s) or-Check# 1..:' ?--) ❑ Cash $ <br /> =ee(s) a Check# .-- a Cash $ f <br /> Tota! $ Total $ i -' <br /> CityPublic WE <br /> oof Eugene <br /> City of Eugene rks Parks and Open Space '� <br /> Public Works Parks and Open Space 1820 Roosevelt Boulevard '.., ;. <br /> 1820 Roosevelt Boulevard Eugene Eugene,OR 97402 ; <br /> Eugene,OR 97402 <br /> Park Reservation Receipt <br /> Park Reservation Receipt <br /> Name of Event: . o�; <br /> Name of Event: rY, 'nib :�� ��"� Date(s) of Event: i• J , , <br /> Date(s) of Event: 'n,2'i•!T' Park Location: ,:;: <br /> Park Location: '4.A. *1 f <br /> Standard Use Permit o $15.00 ❑ $30.00 $ - <br /> Standard Use Permit❑ $15.00 a $30.00 $ Special Use Permit o-$40.00 0 $80.00 $1":4-4-1 <br /> Special Use Permit o-$40.00 ❑ $80.00 $ t ------- <br /> o-Alton Baker Park Shelter#1 $_L-',, r <br /> afton Baker Park Shelter#1 $ , ::: a Alton Baker Park Shelter#2_ -- $ t '1. <br /> a Alton Baker Park Shelter#2 $ 'Alton Baker Turf Area# $ <br /> ❑Alton Baker Turf Area# $ ❑ Hendricks Park Shelter $ <br /> o Hendricks Park Shelter $ ❑ Owen Rose Garden $ <br /> a Owen Rose Garden $ a Owen Rose Garden with Chairs $ <br /> o Owen Rose Garden with Chairs $ a University Park $ <br /> ❑ University Park „; $ a Other Facility Fee $ <br /> a-Other Facility Fee .', '= ! j. $ +. a Bike Path Walk/Run/Bike Event Fee $ <br /> o-Bike Path Walk/Run/Bike Event Fee $ f'-,' a Vehicle Access Permit a $10.00 a $25.00 $ <br /> o Vehicle Access Permit❑ $10.00 o $25.00 $ -------------------- <br /> Fee(s) o-Check# ,. -ii <br /> Fee(s) o•Check# , ,--' a Cash $ <br /> Total $ <br /> Total $ <br />