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z City of Eugene ';,� <br /> arks and Open Space Aii-` Public Works Parks and Open Space ° s <br /> I B levard . 4� 1820 Roosevelt Boulevard 'M, <br /> 7' 02 4 Py ykt kj Eugene, OR 97402 <br /> V <br /> Park Reservation Receipt Park Reservation Receipt <br /> .ent: LName of Event: k <br /> ei <br /> :vent: Date(s) of Event: <br /> D n: <br /> 1 / 2-6 Park Location: AC I F-. e ` <br /> se Permit g,$T5.00 ❑ $30.00 $ � <br /> ' `' Standard Use Permit ❑ $15.00 ❑ $30.00 $ <br /> Permit o $40.00 ❑ $80.00 $ Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> er Park Shelter#1 $ ❑ Alton Baker Park Shelter#1 $ <br /> er Park Shelter#2W $ ❑ Alton Baker Park Shelter#2 $ <br /> er Park Entrance S ettrs $ ❑ Alton Baker Park Entrance Shelters $ <br /> er Turf Area # J a$ o Alton Baker Turf Area # $ <br /> Park Shelter 1) (IN' . ❑ Hendricks Park Shelter $ <br /> 3e Garden V` 4Vo ❑ Owen Rose Garden <br /> se Garden with ChAir's ❑ Owen Rose Garden with Chairs $ <br /> Park $ ❑ University Park $ <br /> ility Fee G ` $ ' ❑ Other Facility Fee $ <br /> Walk/Run/Bike Event Fee $ o Bike-Path Walk/Run/Bike Event Fee $ <br /> ccess Permit ❑ $10.00 El $25.00 $ o-Vehicle Access Permit ❑ $10.00 o-$25.00 $ j <br /> ❑ Check # ❑'Cash $ Fee(s) neck # 'Yi t ❑Cash $ <br /> Total $ 1 (05. Total $ g5. <br /> m —� oO <br /> co x co <br /> m a • W W W Cn ° ° m < n-o�. 77 r 77) <br /> D n. (D cD CD c� -0 CD o <br /> CS <br /> ❑ N � � v v . q, R- R- x -. 3 -� Q o <br /> z 0 , a C� -p �7 ° n C (n D r <br /> c� o CD s m cn cn <br /> 0 -, ' c CD (D ❑ ❑ o -a <br /> ° o It * o o i So <br /> < = cn o o P o <br /> o m w s <br /> CD r* - X <br /> m CD <br /> o <br /> cn \ o <br />