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Application # , “wo ¥ 6 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 Aurom 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. _ Name of organization: Boydevad Muicteshal- Individual responsible for this request: den ar Bvaw \A Address: One PxAono St Back Aviom Wy M2 Telephone umber: ly —-APA- BIC 2 Fax: Email: Jonlaan i it KMD, LA 3m Date(s) of event: Se plenrarat te paeh op. lene | é “ 20" ‘ peng Hours of use including set up/take down: Start Born Bnd ge |2, an. mulnite Description of the event or use: Palla iy tur Bérvelintod Lestyes ~ 10. Specific area(s) request. Please attach a map of the area. a. Soccer fields XK b. Polo Field % c. Equestrian Park d. Other i. Describe : _ 11. Specific equipment,to be brow it into the park (porta-johns, tents, etc.) Po pot lash TOweeS 12. Needs: Water Electric 13. Estimated attendance: AEF + Capl a. Will participants be crossing Knox Road? Pie = \ b. Will participants be attending via bus? as.