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R <br /> s.;. <br /> City of Eugene ,,:,,.,.'.-. ..-7,;.';\ <br /> .y City of Eugene . '� z <br /> ��� - Public Works Parks and Open Space �`" <br /> Public Works Parks and Open Space �. �� `���r���..- <br /> * 1820 Roosevelt Boulevard " <br /> 1820 Roosevelt Boulevard °;-•;t" Eugene,ORse 97402 <br /> Eugene,OR 97402 <br /> Park Reservation Receipt <br /> -�– Park Reservation Receipt St..0 <br /> Name of Event: ���\ 1-�. ,- k-- 1 cL'1 �7! Name of Event: • ea-TT 1 b i.(� 106 0� <br /> Date(s) of Event: L/ . `i• l Date(s) of Event: Ss• .S./-4- <br /> Park Location: f\! yl c( 'I (1,(/) Park Location: t) –0' 'A G ______ <br /> Standard Use Permit o $15.00 _ed$30.00 $ 3c. Standard Use Permit X5.00 o $30.00 $ 1.5•r <br /> Special Use Permit o $40.00 ❑$80.00 $ Special Use Permit o $40.00–❑$80.00 --$--------- <br /> Alton Baker Park Shelter#1 $ 0 Alton Baker Park Shelter#1 $ <br /> ❑Alton Baker Park Shelter#2 $ 0 Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ 0 Alton Baker Turf Area# $ <br /> a-Hendricks Park Shelter $ 77G — ❑ Hendricks Park Shelter $ <br /> ❑ Owen Rose Garden $ <br /> a Owen Rose Garden $ 7 S..-- <br /> o Owen Rose Garden Chairs (optional) $ • 0-0-wen Rose Garden Chairs(optional) $ O• <br /> o Washington Jefferson Park ❑Washington Jefferson Park <br /> o Other Facility Fee $ ❑ Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit o$10.00 ❑ $25.00 $ 0 Vehicle Access Permit❑ $10.00 ❑ $25.00 $ <br /> ❑ Event Security Deposit $ ❑ Event Security Deposit $ <br /> -------------------------------------- <br /> Fee(s) 0-Check# ❑ Cash $ Fee(s) Check# J Q5R ❑ Cash $ <br /> Deposit(s) o Check# o Cash $ Deposit(s) o Check# ❑ Cash $ <br /> • � -- Total $ � 3��� <br /> Total $ <br />