15. Ellsworth - Lawrence Park Requestum#,t
CrrY OF KALISPELL
ALCOHM IN PUBLIC PIACES APPLICATA
W D1,14
Permittee, -7�'oW4 I , will comply with regulations in
effect on City administered property, and acknowledges receipt of a copy
of these regulations. Permittee, further agree to comply with the
requiremnts of this permit. Permittee understands that failure W comply
will jeopardize the privilege of future use of this area.
Nam of Person Assuming Responsibility: 2- 3
&Pn Address: .. �,' I I Zc) A -, t Of M t. OR4
Business Telephone !3C 'z.tj 16 Home Telephone. ffl' Z .44 ler
Nam of Group: Cak, Llea, L)C1L9,-
Type of Event: t,A &-C mj2 iA : J �-, F
Area Reserved: L� — k KI � L' a,' I
Date Reserved: :7 114,419 Times: 12' 3 CJ -:4
Number of Persord in Group: 2 c cj Trr
Anticipated Number of vehicles: ire, — i I I
Date Application was Made: i, 7� ugl-
if you checked "Yes" above, you must obtain either a catering endorsement
for beer or wine or a special permit fran the DeparbTent of Pteverme of the
State of Montana.
only beer and/or wine may be sold, dispensed, consumed or possessed under
this permit. The sale, consumption or possession of distilled spirits is
prohibited under City Ordinance.
Perndttee, Z does hereby covenant and
agree to assume all Risks associated with usage of City of Kalispell
property, and hereby accepts that any injury or injuries suffered as a
result of usage of shall be Permittee's responsibility and that under no
circumstances may Permittee maintain any cause or causes of action against
the City of Kalispell which arise out of or are in any way associated with
patronage of City of Kalispell property authorized usage or activity.
Permittee, releases and agrees to indemnify and
hold harmless the City of Kalispell from any and all claim for any injury
or damages of any kind or nature to the persons or property in, upon, or
about the premises upon which the event takes place from the operations
of the activity upon said premises, provided, however that nothing herein
shall be construed as an agreement by Permittee to release, indemnify or
hold harmless the City from liability for damage or injury to persons or
property caused by the negligence, carelessness, or intentional act of the
City, its agents, servants, or employees. This obligation to indemnify
shall include reasonable attorneys' fees and investigation cost and all
other reasonable costs and expenses, and liabilities from the first notice
that any claim or demand to be made or may be made by either party.
Signature: Da (-11319,17
7-
Amount of Fee: 5Q. /0 Check No.: Receipt No.:
I I
1A51WWYfJ`M1D`6 1011'yl-
WJVPI�l
0191=0•
=1
F 0
L
WJW.. -. 044 10 A
Date:
pLEAsE NME: Upon arrival if the pavilion is occupied, and the occupants
won't leave after showing your permit, please notify the Kalispell Police
Department at 758-7780. Thank you.