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Eugene •' , City of Eugene "� <br /> Works Parks and Open Space r. ` Public Works Parks and Open Space „' ` f <br /> toosevelt Boulevard Q1' J 1820 Roosevelt Boulevard ' ' <br /> e, OR 97402 Eugene, OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> e of Event - .4 1, S Name of Event: ( <br /> (s) of Event 2 /(7,17 1 t- Date(s) of Event Ke h&' ) S Pi 14 / 8 /5 <br /> Location: i / Park Location: 1 k•St. — 1// 't - <br /> lard Use Permit a $15.00 ❑ $30.00 $ Standard Use Permit ❑ $15.00 c $30.00 $ _ <br /> :ial Use Permit a $40.00 o $80.00 $ Special Use Permit 1a 0.0 .2 $80.00 $ • <br /> X <br /> Dn Baker Park Shelter#1 $ / c Alton Baker Park Shelter#1 $ <br /> Dn Baker Park Shelter #2 $ Lbv o Alton Baker Park Shelter#2 $ <br /> Dn Baker Park Entrance Shelters $ a Alton Baker Park Entrance Shelters $ <br /> Dn Baker Turf Area # 5 $ a5 ❑ Alton Baker Turf Area # $ <br /> ndricks Park Shelter $ 0 Hendricks Park Shelter $ <br /> ten Rose Garden $ c Owen Rose Garden $ <br /> ten Rose Garden with Chairs $ a Owen Rose Garden with Chairs $ <br /> iversity Park $ a University Park $ <br /> ier Facility Fee P . $ 1.5-3,. — ❑ Other Facility Fee $ <br /> :e Path Walk/Run/Biker/Event Fee $17. ❑ Bike Path Walk/Run/Bike Event Fee $ _ <br /> hicle Access Permit e $10.00 c4 .00 $T o Vehicle Access Permit ❑ $10.00 ❑ $25.00 $ <br /> —C-- <br /> s) dCh�eck # o Cash $ Fee(s) erCheck #Db3i2493E6 Cash $ <br /> Total $ 510..__l/•' 4(5-0 $Q -)2-cc - Total $ •m C V ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ rn 0 -- --1) C Z - --- <br /> - m -- n <br /> m m m t o n m. <br /> ? N st i N N a 7 7 > i N d r N rD m <br /> n -0Llico 7 7 -' o " o p g o ,o <br /> W o mi 70 xi 5. CO CO CO Co Ca 1 n o ^• m < y ; • <br /> 0 a - 03 (n rn CD m to CD m N o' m e `-° ° d m <br /> y N "G Sv 0 G) M —I -0 -0 m M -0 D • • N c CO <br /> N\ N N x -, m Rtv v o B iD - rD a <br /> RL xg Al <br /> N cCD =7 > > N D m rn rn ' ,A R- n o <br /> co <br /> * x s -, xt $ 6 a EA D $ <br /> a � m n 0 4tat • b <br /> v 0m ami 00 ^3 -s 00 V _� °; <br /> V co ' om <br /> Cf C) U7 O Co fp <br /> co <br /> O O O .a <br /> O <br /> Z. <br /> EA EA EA yq EA EA EA EA EA EA EA EA to to b <br /> �i 1'x."a <br /> bI k) <br />