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Application # Application For Temporary Use Permit Neil and Barb Chur Equestrian Park, Seccer Field and/or Polo Field _At Knox Parm State Park ba applications te. Town af Accord Parks atid Recreation 874 Ouhsoiid Ave Past Agron, NY [4Ud2 Felephane (7H GI2-8866 Fuk. (710) 632-3046 ALL REQUESTS MUST BE MADE NO LESS THAN 30 DAYS IN ADVANCE OF EVENT/USE. PLEASE NOTE THAT THE PERMIT CANNOT BE AC CEPTED FOR BOARD APROVAL WITHOUT THE FULL COMPLETION OF THIS DOCUMENT. . Name of organization: won Oe i LYC | WAS, Cs I ect vez Individual responsible for this request: New a ite oe 2 ey Address: | 33 3 /*ee\e « 9 Excl Avtoca MY Wor? Telephone number: wa 6-44 7 ~F7 YQ Fax: Sat len Zawradch,.AZ@ awa. Com Emait: OS Date(s) of event: \o/ lf | 2026 Hours of use including set up/take down: Stat aw End 5 Ow Description of the event or use: use of Gecking lof foc Gee race tee bing 10. Specific area(s) request. Please attach a map of the area. a. Soccer fields b. Polo Field ¢. Equestrian Park d. Other i. Describe SarceC @arlina lot 11. Specific.equipment to be brought into the park (porta-johns, tents, etc.) 12. Needs: Water_—— Electricy__ 13. Estimated attendance_F° a. Will participants be crossing Knox Road? f< $ . b. Will participants be attending via bus? _ Oo