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DC Fee Paid Refund Application # Application $25.00 am Permit $15.00 __ Security Deposit $200.00 _. __ Per DayEventFee $175.00/Hour __ __ Application For Temporary Use Permit | Community Pool Rental ; Submit applications to: Town of Aurora Parks and Recreation 575 Oakwood Ave. East Aurora, NY 14052 Telephone (716) 652-8866 Fax: (716) 652-5646 ALL REQUESTS MUST BE MADE NO LESS THAN 30 DAYS INNANCE OF EVENT/USE, 1. Name of Organization: ]=4 te i (ass 2. Individual Responsible for this request: Donrad 3. Address: “ag Dart tl Rd 4. Telephone number: “To §37-5206 ot 2S 5. Fax: 6. Email Address: Qeonrodeahroliandesd.org 7. Date(s) of event Vion une 22 26 Lo a Nib we A} chpe te ag 8. Hours of use: 8S End Ll ‘US am/pm a : 9. Description “4 the event or use: , joe" Sy, | 10. Specific area(s) requested / a. Community Pool b. Pavilion 11. Specific equipment to be brought in to park (porta johns, tents, etc.) @ 12. Estimated attendance: \] 0 13. oy food or drinks be served outsi lf yes, describe: 14, Will there be sound amplification or m ic? ~ If yes, describe: Revised 5/20/2 |