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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: Wal Ik Loy Life. Type of Activity: Walle Fundiaiser Location of Event (Facilities Requested):__ 7% Allen St. Ganiander Date of Event:__ | 7 | ake Time of Event (start/end): [2p 7 Ap . Organization Name:_~Tri- County Crisis Pregnancy Conter Adaress: 11 Sarth Water St. Gowandir Contact Person: Allie Reid Address: Phone Number: Cell Phone: Ll Name of person responsible for organization or group: _ All l t Re id Name of person and contact information of individual who will be in attendance at event: Allie Reid 0-25 Attendees Anticipated ($25 Security Deposit Required) VA 25- 100 Attendees Anticipated ($100 Security Deposit Required) 100+ Attendees Anticipated ($250 Security Deposit Required) Events for over 5,000 people need DOT permit (please attach): e Request for Street Closings (closing and re-opening) attach separate sheet e Detailed Map of Event Area (include vendors, staging, show area, etc.) — attach separate sheet List of any special equipment to be borrowed from village: Non & First Aid Provisions: _Q\-_ ite Restroom Provisions-(required for 25+ capacity): __NJ fl A (ey Assemb| y of Cd Church Trash Provisions: (required for 25+ capacity): N | A @ fs Semb lv of God Churdan