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City of Eugenea. <br /> y of Eugene �®®..,,������ Public Works Parks and Open Space <br /> olio Works Parks and Open Space 1820 Roosevelt Boulevard <br /> >0 Roosevelt Boulevard Eugene, OR 97402 <br /> 3ene, OR 97402 <br /> Park Reservation Receipt <br /> Park Reservation Receipt ��� r� <br /> Ul-K Name of Event: ) `1 <br /> tate of Event: �(/�A/� Date(s) of Event: 3 l/d /9 <br /> tte(s) of Event: 1b" a7• ( 41 �/� I -I �l r� ` <br /> k/li Park Location: <br /> irk Location: <br /> Standard Use Permit ❑ $15.10 o $30.00 $ <br /> andard Use Permit a11.5.00 o $30.00 $ Special Use Permit an0.00 ❑ $80.00 $ (10. <br /> - <br /> lecial Use Permit - $40.00 o $80.00 $ q <br /> / o Alton Baker Park Shelter#1 $ <br /> NIton Baker Park Shelter#1 $ 135, o Alton Baker Park Shelter#2 $ <br /> Alton Baker Park Shelter #2 $ e Alton Baker Park Entrance Shelters $ <br /> niton Baker Park Entrance Shelters $ ❑ Alton Baker Turf Area # $ <br /> Alton Baker Turf Area # $ ❑ Hendricks Park Shelter $ <br /> -lendricks Park Shelter $ o Owen Rose Garden $ <br /> Ewen Rose Garden $ ❑ Owen Rose Garden with Chairs $ <br /> Dwen Rose Garden with Chairs $ c University Park $ <br /> _yversity Park $ -� - c Other Facility Fee $ <br /> P r <br /> Diller Facility Fee icnt Fee $ /5• ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> ike Path Walk/Run/Bike ve $ 7 S c Vehicle Access Permit ❑ $10.00 0 $25.00 $ <br /> Jehicle Accesss Permit o $10.00 o $25.00$ r2/- <br /> Fee s t3'Check # 5.-3(0 ❑ Cash $ <br /> e(s) o'Check # /SSS a Cash $ O <br /> D <br /> Total $ 59 1' <br /> ' Total $ l • <br /> C <br /> • <br />