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Wag i Mlyw1ugg 11,141 <br />ELI WKIJ r.1"3kJDQ9 _, ! mlyl <br />PP w 11 Diu <br />LOCAL Bl�l COU <br />. .... ..... .. ....... ....... . . . .......... <br />LIST THE NAMES, ADDRESSES AND TELEPH0NE'lTToVXR_S OF <br />"IT � <br />. ... ....... . . . . . . .. ............... . . .. I ............ . ... ... <br />4. DATE(S) ON WfflCli EVENT WML TAU PLACE:. <br />5. APPROXIMATE START AND STOP TIMES OF THE EVENT: <br />6. DATES UPON W14WH AND HOURS DURING �JTCH CLOSURE OR USE is RE(2TjEs,rED: <br />:7 <br />/ W,� <br />(INCLUDING Al I SET -I TIR E AND BREAK-DOWWiCLEAN UP) <br />7. APPROXIMATE NUMBER OF PEOPLE 113MECTED TO AT`rEND THE EVENT: <br />