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City of Eugene <br /> ty of Eugene a Public Works Parks and Open Space4.1 <br /> iblic Works Parks and Open Space Eugene 1820 Roosevelt Boulevard ts <br /> S20 Roosevelt Boulevard Eugene,OR 97402 <br /> igene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> Q r 1� '�,J-,',e 6.Aki Name of Event: St� 4 P4Aiti b <br /> ame of Event: (() COCK '7► / ^-" Ad} <br /> ate(s) of Event: /2 LSI I /3, 1/27 113/ 'iC� i2.0 i Date(s) of Event: 9 I�a ���( get - ?JP <br /> 51.414cr: E4 2- Park Location: n 14T3, Mai) <br /> ark Location: 1Cka FaosF : 31, 2�5.'l Mb <br /> • <br /> :andard Use Permit c $ .00 c $30.00 $ Standard Use Permit o $15.00 c $30.00 $ <br /> — rr Special Use Permit o $40.00 c $80.00 $ <br /> 15 <br /> )ecial Use Permit ae 40.00 o $80.00 $ 14 Q. <br /> Alton Baker Park Shelter#1 $• c Alton Baker Park Shelter#1 $ <br /> Alton Baker Park Shelter#2 $ c Alton Baker Park Shelter #2 $ <br /> Alton Baker Park Entrance Shelters $ ❑ Alton Baker Park Entrance Shelters $ <br /> Alton Baker Turf Area # $ c Alton Baker Turf Area # $ <br /> Hendricks Park Shelter X $ 150 , c Hendricks Park Shelter $ <br /> Owen Rose Garden $ ❑ Owen Rose Garden $ <br /> Owen Rose Garden with Chairs $ c Owen Rose Garden with Chairs $ <br /> c University Park $ <br /> University Park r $ e Other Facility Fee <br /> ether Facility Fee !n rtn? 4/duJ X $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> Bike Path Walk/Run/Bike Event Fee ' $ ❑ vehicle Access Permit c $10.00 c $25.00 $ <br /> Vehicle Access Permit o $10.00 o $25.00 $ <br /> Fee(s) 2-Check # is Ia 6 e Cash $ <br /> e(s) _ v heck # 0 /4 c Cash $ <br /> Total $ 3 CI o.' Da. Total $ 5-X. <br /> i <br />