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Application # Ok Application For Temporary Use Permit Neil and Barb Chur Equestrian Park, Soccer Field and/or Polo Field : At Knox Farm State Park 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 IN ADVANCE OF EVENT/USE. PLEASE NOTE THAT THE PERMIT CANNOT BE ACCEPTED FOR BOARD APROVAL WITHOUT THE FULL COMPLETION OF THIS DOCUMENT. 1. Name of organization: Tmam eculede. Corception Schoo | 2. Individual responsible for this request: Mark Wiezvall — AXD 3. Address: | AGS Galkiivoeak® AYR Eesk Prete , NY 10F@ 4. Telephone number: _7\G QS2 S¥sv (116 SSO 777 2) 5, Fax: | 6. Email: MmMozceN\@. ny cachoal RA OT 4 7. Date(s) of event: | Peas 25 ~ pvt Wes / Frito nigh’ > 8. Hours of use including set up/take down: Start 5 9: «7 End Com 9. Description of the event or use: Bu Soccer Goe\& Use Kee school Aeams Ac OCce. cmee. ayn. Wo evens Bows ‘A are\K€. oO ma’ Tu 10. Specific area(s) request. Please attach a map of the area. a. Soccer fields b. Polo Field aan c. Equestrian Park d. Other i. Describe 11. Specific equipment to be brought into the park (porta-johns, tents, etc.) Rone 12. Needs: Water Electric 13. Estimated attendance: GC a. Will participants be crossing Knox Road? b. Will participants be attending via bus?