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r City of Eugene '-=" City of Eugene <br /> Public Works Parks and Open Space <br /> �` `' Public Works Parks and Open Space ,.. <br /> 1820 Roosevelt Boulevard ''a(4e ' 1820 Roosevelt Boulevard s;��� <br /> 4 vcrS` Eugene,OR 97402 .Ev e <br /> Eugene,OR 97402 : <br /> Park Reservation/ ReceiptipPark Reservation Receipt r <br /> Name of Event: [ 1 Q F'i‘L►11 G Name of Event: C /144S i!rl'tc it Rgut(Al <br /> Date(s)of Event: 06 • •l�� Date(s) of Event: 0 I', <br /> Park Location: liti AAA(CIO Park Location: /t Oa-4A # <br /> Standard Use Permit e5.00 ❑ $30.00 $ 15. Standard Use Permit o $15.00 o $30.00 $ <br /> Special Use Permit ❑ $40.00 ❑ $80.00 $ Special Use Permit 1440.00 0 $80.00 $ Af0. -- <br /> o Alton Baker Park Shelter#1 $ o Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ 0 Alton Baker Turf Area# $ <br /> .2•Frendricks Park Shelter $ 75 _' ❑ Hendricks Park Shelter $ <br /> o Owen Rose Garden $ a Owen Rose Garden $ <br /> o Owen Rose Garden Chairs(optional) $ • 0 Owen Rose Garden with Chairs $ <br /> ❑Washington Jefferson Park o Washington Jefferson Park <br /> ❑ Other Facility Fee $ o Other Facility Fee $ <br /> a Bike Path Walk/Run/Bike Event Fee $ o Bike Path Walk/Run/Bike Event Fee $ <br /> o Vehicle Access Permit❑ $10.00 a $25.00 $ a Vehicle Access Permit o $10.00 o $25.00 $ <br /> a Event Security Deposit $ o Event Security Deposit $ <br /> Fees) Check# f q83 ❑ Cash $ Fee(s) o Check# Cash $ 140. <br /> Deposit(s) a Check# 0 Cash $ Deposit(s) a Check# o Cash $ <br /> Total $1()• Total $ v. <br /> ty of Eugene City of Eugene <br /> ]blit Works Parks and Open Space publiL Works Parks and Open Space <br /> i20 Roosevelt Boulevard Eugene 1820 Roosevelt Boulevard <br /> Ectgene <br /> igene,OR 97402 <br /> Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt 1 <br /> ame of Event: <br /> I� ( Name of Event: ;0 n‘1 'Q' l • ' jai ' ' 'I <br /> ��d Event n •I <br /> ate(s) of Event: S• a J�" j Date(s) of <br /> ark Location: itis 1—!Cc iJ�� Park Location: �r� �� � l--t-t-_'� <br /> tandard Use Permit a $15.00 b a $30.00 $ Standard Use Permit d$15.00 0$30.00 $ t J '— <br /> pecial Use Permit40.00 0 $80.00 $ 140.— Special Use Permit a $40.00 ❑ $80.00 $N — <br /> Alton Baker Park Shelter#1 $ a Alton Baker Park Shelter#1 $___________ <br /> Alton <br /> — <br /> Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $_______ <br /> Alton <br /> — <br /> Alton Baker Turf Area# $ o Nton Baker Turf Area# $ <br /> Hendricks Park Shelter $ Hendricks Park Shelter $ <br /> Owen Rose Garden $ 0 Owen Rose Garden $_______ <br /> Owen <br /> — <br /> Owen Rose Garden with Chairs $ ❑ Owen Rose Garden with Chairs $_______ <br /> University <br /> — <br /> University Park $ a Washington Jefferson Park <br /> Other Facility Fee $ ❑ Other Facility Fee $_________ <br /> Jatke <br /> — <br /> Bike Path Walk/Run/Bike Event Fee $ 7 5 o Bike Path Walk/Run/Bike Event Fee $ <br /> Vehicle Access Permit a $10.00 ❑ $25.00 $ 0 Vehicle Access Permit o $10.00 ❑ $25.00 $ <br /> ____ ❑ Event Security Deposit $ <br /> se(s) e<heck# 3-7() Cash $ _______w____- � . --Cash$ <br /> _ i Fee(s) o'Check# _0 <br /> Total $ / I 5 . Deposit(s) o Check# ❑ Cash $ <br /> Total $11.1:— <br />