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Eugene a, City of Eugenb t ' <br /> f : ; <br /> Works Parks and Open Space rem Public works Parks and Open Space <br /> li oosevelt Boulevard 1820 Roosevelt Boulevard <br /> ., OR 97402 Eugene, OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> P <br /> of Event: 5/L ' d>((,�, Name of Event: V/Lk41,4Cr(, ,41fU� <br /> s) of Event: 3 /p/1 ¢, f 1.v✓30'p/ Date(s) of Event: 6 • 8 • <br /> _ocation: / A5' Park Location: f - • <br /> and Use Permit c $15.00 c $30.00 S Standard Use Permit o $15.00 c $30.00 $ <br /> al Use Permit c $40.00 o $80.00 $ Special Use Permit c $40.00 c $80.00 $ <br /> n Baker Park Shelter#1 $ / 5C' c Alton Baker Park Shelter#1 $ <br /> n Baker Park Shelter#2 $ o Alton Baker Park Shelter #2 $ <br /> n Baker Park Entrance Shelters S ___ o Alton Baker Park Entrance Shelters $ <br /> n Baker Turf Area # $ c Alton Baker Turf Area # $ <br /> dricks Park Shelter $ = Hendricks Park Shelter $ <br /> 3n Rose Garden $ o Owen Rose Garden $ <br /> :n Rose Garden with Chairs $ o Owen Rose Garden with Chairs $ <br /> rersity Park S 2 University Park f $ <br /> :r Facility Fee $ ❑ Other Facility Fee IC: il'ill 14 r' GC $ S <br /> Path Walk/Run/Bike Event Fee $ 7 3 _ : Bike Path Walk/Run/Bike Event Fee $ <br /> icle Access Permit ❑ $10.00 c $25.00 $ ❑ Vehicle Access Permit c $10.00 o $25.00 $ <br /> I di-heck # •.5-;0 L ❑ Cash $ Fee(s) .o Check # //- ❑ Cash $ <br /> Total $(9lU.' Total $? <br />