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Approved by: <br /> <br />Park Department or City Administrator <br /> <br />Date <br /> <br />OFFICE USE ONLY <br /> <br />DATE AMOUNT <br /> <br />Deposit: Total: <br /> <br />ADDITIONAL FEES J~_P2,J..[~ AMOUNT <br /> <br />City Labor <br />City Equipment <br />Limer $ 3.00 <br />Drag $1.50 <br />Bases $10,00 p/set <br />Lime $5,00 p/bag <br /> <br />Toilets $50.00 <br /> <br />Total: <br /> <br />Date Billed: <br />Date Paid: <br /> <br />Facility Use Permit <br />Page 5 of' 11 <br /> <br /> <br />