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City of Eugene , of Eugene fir''" • Public Works Parks and Open Space l'' Y 1820 Roosevelt Boulevard _ Public Works Parks and Open Space �� Eugene,OR 97402 . 1820 Roosevelt Boulevard } Eugene,OR 97402 Park Reservation Receipt� Park Reservation Receipt Name of Event: tk/Olt /J Skald-- Name of Event: A. h• `t I'(� ctnlv Date(s) of Event: . 7• /7 Date(s) of Event: 7/2-f'1 Park Location: Park Location: 5 f 4,1 So-r, Standard Use Permit f5.00 o$30.00 $ l 5.. Standard Use Permit 415.00 ❑ $30.00 $ 1 S. Special Use Permit o $40.00 o$80.00 $ Special Use Permit o $40.00 ❑ $80.00 $ M ____ o Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 �� $ o Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ o Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ o Hendricks Park Shelter $ o Hendricks Park Shelter $ o Owen Rose Garden $ ❑ Owen Rose Garden $ ❑ Owen Rose Garden Chairs(optional) $ • o Owen Rose Garden with Chairs $ o Washington Jefferson Park ❑Washington Jefferson Park / o Other Facility Fee $ o-Other Facility Fee (}.QM USL. 05. o Bike Path Walk/Run/Bike Event Fee $ o Bike Path Walk/Run/Bike Event Fee $ o Vehicle Access Permit o$10.00 o $25.00 $ o Vehicle Access Permit o $10.00 o$25.00 $ o Event Security Deposit $ ❑ Event Security Deposit $ Fee(s) ____ ❑ Check# —� cCash $ S, Fee(s)�M ` ra'Check#212.77g o Cash $ —^ Deposits) o Check# ❑ Cash $ Deposit(s) o Check# ❑ Cash $ Total $ ( 5/ Total $ 4/0 City of Eugene titOA Public Works Parks and Open Space 1820 Roosevelt Boulevard Eugene Eugene,OR 97402 • Park Reservation Receipt Name of Event: N r res- �u.et.R,. Date(s)of Event: Co 7 i l –, Park Location: S. fc.-uo Standard Use Permit o $15.00 o $30.00 $ Special Use Permit0.00 ❑ $80.00 $1-1-0.-o l-1-0. — ❑Alton Baker Park Shelter#1 $ o Alton Baker Park Shelter#2 $ o Alton Baker Turf Area# $ o Hendricks Park Shelter $ o Owen Rose Garden $ o Owen Rose Garden with Chairs $ o W ington Jefferson Park 1 2 $ e'Other Facility Fee • o Bike Path Walk/Run/Bike Event Fee $ ❑Vehicle Access Permit o $10.00 0 $25.00 $ o Event Security Deposit $ wW Fee(s) o Check# ____� o Cash $ Deposit(s) o Check# o Cash $ r .t.;