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�- rrJ r, 1 7L �+ J'j/ l/J <br /> � 1���7��� <br /> PART II. A,PPLICANT INF'ORMATION <br /> Name of Organization: ��r��- 1Z y 1�-�-�`� c�rc�� ��'''",-"`�'�' <br /> A licant must be a not for profit entity, eglster to do business in the State�Florida <br /> PP <br /> . Contact person: �ICm�I-� �� ����-C-t� <br /> Mailing address: , <br /> ��s o �-;F��, �'-�-, .zz..,�1-,.�.,, r1-t.�:.l� �3�f.�..., <br /> Phone autnber(including area code): �d13� ��a "�1�3 <br /> Aiternate phone number �I 3 �J 3 —l0 0�a <br /> Fax number(including area code):(_g�3� tI f 3 --(�D� U <br /> Email address: � <br /> ,�P��-�z.��:.�/lscl�m�--'- ��' - <br /> Date incorporated: �'z �� � r���� <br /> G�urent corparate status: (Circle On ctive Inactive . <br /> Employer ldentificativn Nuuiber(EIN: s� '" d6� �/ 7/ <br /> pA.RT II. EVEN'� SPONSORSffiP <br /> Name of event: � � � i . �S !J Z>n!�`ii 6S �� � �j1�S <br /> Do you have any co-sponsors for the ev_ent?: No '�Yes <br /> � �� ' �-�-, `S ' � /' c� J r'��--�p , �� , <br /> If yes,please list: �'h,c,�r�-+�� -� G{9c� � � � �'� � <br /> Will an admission fee ba chargea to attend this event? No t/Yes <br /> If yes,how much will the fee be? �� /� •� �-�-�-�- ��'�� <br /> Pleuse note, a�t application for any IeveI of City subsidy of a special event must be filed with the <br /> City Manager by June 1 for events occurring during the following fiscal year (October 1- <br /> Septencber 34) . . <br /> 2 <br />