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Indian River County Parks Division - EVENTS AT PARKS <br />5500 77' Street <br />Vero Beoch, F! 32967 <br />Phone (772) 589-9223 www.ircaov.com/oorks <br />PERMIT APPLICATION FOR INDIAN RIVER COUNTY PARKS <br />I hereby request the use of the following location: <br />Name of Park or Facility: 16th Street Ballfield Complex / Samson Field <br />Park Address: 1900 16th Street Vero Beach Florida 32960 <br />Proposed date(s): December 9 2016 <br />Set-up Time: TBD Event Time: 6:00pm-7:30pm Clean-up Time: <br />Name of group, organization or individual: Jake Owen Foundation <br />Profit X Non -Profit <br />Name of Applicant: Michele L. Cope Website: www.chevents.com <br />Address: C & H Events Inc. 160 W. Camino Real #231 Boca Raton FI 33432 <br />Applicant's Contact Number: 561-394-9190 Email: MLCope@chevents.com <br />Event Name: 1611 Annual Jake Owen Foundation Benefit Concert <br />Expected number of people attending the event: 150-170 <br />Type of Event: Charity benefit music concert for various youth organizations in Indian River County, Florida <br />including the Boys & Girls Club of Indian River County, Hibiscus Children's Center and Mardy Fish Children's <br />Foundation as well as the St. Jude Children's Research Hospital. <br />Proposed Activities: Parking for event, set-up of 40X 40 rented tent (will ensure meets all guidelines). <br />Use of lights: December 9th, 4:30pm to midnight. Concert should end no later than 11:00pm. <br />Limited tables and chairs -it is a reception, thus more of a flow. <br />Food and beverages will be provided by Riverside Cafe. There is no sales of food & beverage. <br />Silent auction <br />Application Date: <br />Signature of Officer or Agent of Organization. <br />APPROVAL: Event agreement for use of a County Park has been approved, subject to the conditions stated herein: <br />Date <br />73 <br />