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2. Applicant (Person/Group)
4. Address
6. City
8. State
10. Zip
12. Home Phone
14. Cell Phone
16. Email
18. Name of Park or Address of City Property
20. Begin Date
    Begin Date
21. End Date
    End Date
23. Photo of Work Area
25. Detailed Description of Work
27. Provide justification of how the proposed work benefits the City of Woodbury
29. Electronic Signature Agreement

    I/we the undersigned understand that any permit issued hereon shall be issued pursuant and subject to the provisions of the City of Woodbury Municipal Code and general permit rules attached to this application. I/we further acknowledge that I/we have read and understand and agree to be responsible for ensuring that the rules and regulations attached to this form are followed.

    Note: Absolutely no chemical use is allowed on City park property.

    1. I agree.
31. Electronic Signature
32. Date
    Date
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field