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Village of Gowanda Event Application
Please be advised the Village cannot reserve parking spaces or restrict other people’s activities in
the park unless the activities are illegal. Our parks are open for public use.
Name of Event: ‘PReatlar : Prowl NY us
“Type. of Activity: Sk Cruans [ wack
Location: of Event (Facilities Requested): Bena @-
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, End © Aenea: Coagecn =
Date: of Event: mal { 26 | Bhs _ Time of Event (start/end): “1G
Organization Name: Conker Demat Tk: Scladliccbas ip
“Radress: on
7 Olszausk” :
Conte Perso Dass
“Addtess::
“Phone Number: ee — “Cal Phone:
a ‘Name sof person responsible. for organization or group:
‘Name of person and: contact infomation of individual who wll beiin attendaitce at
event: “Ke SS Clare _—_ :
0-25 Aitendees Anticipated ($25 Security Deposit Required) -
25- 100 Attendees Anticipated ($100 Security Deposit Rediitea) 2= :
“100+ Attendees Anticipated ($250 Security Deposit Required)
Events for over 5,000 people need DOT permit (please attach):
«Request for Street Closings (closing and re-cpening) ~ attach separate sheet-
« Detailed Map of Event Area Ginclude vendors, staging, show area, ete: )~ attach
separate sheet: -
. List of any special equipment to be borrowed from village: _s¢sa0
First Aid Provisions: Gyssson dle Po, Eee 3 Rubulones Ooh Gel and
Ls Ge pixgead .
. Restroom Provisions ‘(required for 25+ capacity): _Awerun, bug en eee Ai ec
Trash Provisions: (required for 25+ capacity): Quer enn (xy ten Fait hes.