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(B) HAVE YOU OR ANY OTHER PERSON ASSOCIATED WITH YOUR ORGANIZATION EVER. BEEN <br />DENIED A SPECIAL EVENT PERMIT, OR ANY OTHER KIND OF PERMIT, BY THE CTT -Y. OF PARIS? <br />(Circle one) <br />YO <br />IF "YES", EXPLAIN:__,. 19 <br />IMMA <br />• *, • ., •,f • , <br />•' • f •• • .,low.. R, <br />3 - �. <br />STREET ADDRESS <br />CITY, STATE, ZIP (, )DE <br />c g`3 7/5 __(� r. <br />HOME AND BUSINESS PHONE ERS <br />SIGNATURE OF APPLICANT <br />_ PERSONALLY APPEARED BEFORE ME AND, BEING <br />BY ME FIRST DULY SWORN, DEC <br />LARED THAT HFJSHE SIGNED THIS APPLICATION IN THE <br />CAPACITY DESIGNATED, IF ANY, AND THAT HE/SHE HAS READ THE ABOVE APPLICATION AND <br />THAT THE STATEMENTS THEREIN CONTAINED ARE TRUE AND CORRECT, <br />SWORN TO AN9D SUBSCRIBED BEFORE ME ON THIS DAY OF <br />