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City of Eugene q,.J``� <br /> Eugene r ix,ck.. <br /> forks and Open Space Public Works Parks and Open Space s� <br /> rosevelt ParksBoan and they 1820 Roosevelt Boulevard � !J <br /> Eugene,OR 97402 <br /> ,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt / / <br /> L1` KS Lodk- Name of Event: Nit. ! a <br /> of Event: lc G-r'a Py <br /> Ci r� � " <br /> s) of Event: �J I "8 I 1 I Date(s) of Event: caj-- 41/If 5-- <br /> Location: <br /> Location: 'i "`� Park Location: /cL Y'\J& . <br /> lard Use Permit c $15.00 a $30.00 $ Standard Use Permit0 0 $30.00 $ 1 r <br /> ial Use Permit d$40.00 0 $80.00 $ N 0 . Special Use Permit o $40.00 ❑ $80.00 $ <br /> m Baker Park Shelter #1 $ o Alton Baker Park Shelter #1 $ <br /> m Baker Park Shelter #2 $ ❑ Alton Baker Park Shelter #2 $ <br /> yn Baker Park Entrance Shelters $ c Alton B er Park Entrance Shelters $ _ <br /> xi Baker Turf Area # $ o Al Baker Turf Area # $ _ <br /> ndricks Park Shelter $ 73. endricks Park Shelter $!b� <br /> ren Rose Garden $ o Owen Rose Garden $ <br /> ren Rose Garden with Chairs $ c Owen Rose Garden with Chairs $ <br /> iversity Park $ o University Park $ <br /> ner Facility Fee $ o Other Facility Fee $ <br /> (e Path Walk/Run/Bike Event Fee $ o Bike Path Walk/Run/Bike Event Fee $ <br /> .hicle Access Permit o $10.00 0 $25.00 $ o Vehicle Access Permit o $10.0'010 $25.00 $ <br /> s) 'heck # 17 6 3,2—c Cash $ Fee(s) ❑ Check # .54 0 Cash $ <br /> Ci <br /> Total $ �, i Total $ ii C <br />