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Temporary Use Permit Hamlin Park
Submit to: Village of East Aurora 585 Oakwood Ave EA, NY 14052
Telephone (716) 652-6000, ext. 4 Application Fee $25.00 _ __
Not less than 60 Days or more than 75 days before date of activity
PermitFee $50.00 _ __
Name of Organization:
Individual Responsible for this request:
Address: '--\'?)c) (vt_Q\/\ ,S+:ieet-'/ flt 1i'l 11 I \./o'5 L
Telephone number: J:\(f z_uJ-°)Ool.J) F_ax: _ _ _ _ _ _ _ _ _ _ _ _ _ __
Email Address: lLpcuA j\AC<Aabli1"'-@ eO-..JL-1'1., o ;·'.I:
Date(s) of event: 'Fr,' ! Jg "f-e f"\, (J'· I I . (2-4 I/\ d IID- I\U ;,r,:l 'er Ser±<' Mh'7r l \-
Hours of use including set up/take down: Start: r (§Ypm End: 2__ am/tEi)
Description of the event or use:
Specific area(s) requested; map attached.
~eyball courts Tennis courts
.i,(Kiwanis BBQ shelter _ Aurora Players PavilionuMUST receive permission to use the
Tennis Courts shelter Pavilion from the Aurora Players prior to handing in this application.
You must also attach a copy of a written agreement for use from the
_ Rotary Band shell
Aurora Players. * *
-· Soccer field/fo,,tball field
_ Outdoor Play1:1~ound
v-S'aseball diamond
.1.,:-{'.Jther: ~ VI.Aqp
Estimated attendance: I)__ D
Will food or drinks be served? ~Yes D No If yes, describe: Lv 11 t-lo. l.V 1.\ l k.
pr,:>:,~,t_ bi [A
nD Coo\<-l"''l tu,11 b.e. t>~S•~<" •
Is there a plan for garbage?~1Yes ~!No Recycling? i'(Jtes l~INo If yes, describe: _ _ _ _ _ _ _ __
Will there be sound amplification or music or a band(s)? UYes )if.No If yes, describe: _ _ _ _ _ _ __
other services requested (describe): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Police _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_ Department of Public Works (DPW) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_ Fire Department _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Materials _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __