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6%Weracy 4 <br /> j1Y Ddy dt the <br /> Family Day at the Park <br /> Saturday, September 17, 2022 <br /> 10:00am—3:00pm <br /> Weber Point <br /> Center Street and Miner Avenue -Stockton <br /> VENI)OR APPLICATION FOR TREAT STREET <br /> $175 fee <br /> Set uthne no later than 8:30 a.m. <br /> L) <br /> C'ompany <br /> Contact <br /> Items to Sell <br /> A6 l/ ).4-' <br /> Address /- -; <br /> City t ri State-(?—"/4— Zip Z--� Z7 <br /> CA'pb'-Ioner7G Ernailaddress <br /> Resale Health Permit# <br /> Reti.11-11 this appliCatiOfl, a1OM-1 ith Ll COP} Of\OL11- Liability Insurance. completed fire departnient vendor tbrni and a <br /> 175.00 check or money order made payable'to:,Saq Juay iin Foundation by.S'eptember 1,2022. <br /> TO: SCIS.S.1 I'llbliC Re/01j()IIS. 117L,. '1971 Jj,'eq Sirutn Road-228, Stockion, ('I Q5219 209_9;---,-- <br /> I <br /> 09-9 i---2- <br /> I aarcc that 111% set (11)%\ill he complete he 8:30am. I must pr-o\idc ni-, ok\ii hooth. tahie-chairs&- electricil-,. <br /> la"rec to indemnify and hold hal-1111c,- l)-ic Rccord.Cit ol")tocktoll.all sponsorinu businc"Cs. IC<kal pc,r.ojlllcland thch <br /> llldllagCfllellt. 60F U11\ and all 111attel'S,wising,fi-0111 I al-ilik <br /> Dun at the Park- September 17.2022. <br /> In Underanwd and \k ill C0111y ith <br /> 11,�11( L1111Policies. procedt.11V�and agm <br /> reeents. <br /> Signature /i ' Date-5 <br />