Fillable 5256 Addendum D - Acknowledgement Of Notification (City of Bremerton)

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5256 Addendum D - Acknowledgement Of Notification (City of Bremerton)

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DATE
BUSINESS NAME
ADDRESS, INCLUDING STE
NAME
SIGNATURE
I OBJECT
Addendum D – Acknowledgement of Notification
Application for Special Event
Acknowledgement of Notification
WHAT:
WHERE:
DATE(s):
TIME(s):
We are thrilled to be guests in your neighborhood and it’s important to us that we are communicating clearly with you, the
neighbors.
By signing below, you acknowledge receipt of materials notifying and explaining the above named Special Event and do not
object to the event or event activity.
If you object to the event or event activity, please check the I OBJECT box.
Name of Special Event
Date(s) of Special Event
Time(s) of Special Event
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5256 Addendum D - Acknowledgement Of Notification (City of Bremerton)

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Completed 2 August 2020

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