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City of Miami
Application For
Permit To Use Park Facility
Submit by Email
Parks and Recreation
Permits section
444 SW 2nd Ave.
(305) 416-1322
Instructions: An application for permit must be filed with the Department of Parks and Recreation at least ten (10) days in
advance of the specified date of an event.
Name of School/Organization/Sponsor: 147.44)
City Resident yes No
Proof of Residency: (Type of 1.1:1): I Contact Person:
Mailing Address:
Work Telephone , 033 Home Telephon
Park Name ,7473:./147 /-ZAT
Type of Event
Additional Date: I
Hours of Event:
From:
To: I 4/
Projected Number of Participants: I
Will food and/or beverages be served at the event?
Will alcoholic beverages be served?
Special Requirments Needed:
r Yes /No
Tax Exempt No:1
City: "-AP)/ State kabame
Sponsor Status:
Zip33S/
Facility Applied Foci
Date of Event: I C2. - a.?
Day (s) of Week:
Grade/Age level of Participants: I 44,ti
Yes 9- No
Specify:
r Proof of Insurance Attached r Provision of insurance is not applicable