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CITY OF SALEM, MASSACHUSETTS PARK, RECREATION & COMMUNITY SERVICES 401 BRIDGE STREET, SALEM, MA 01970 (978) 744-0924 FAX (978) 219-1655 [EMAIL REDACTED] DOMINICK PANGALLO MAYOR PATRICIA O’BRIEN SUPERINTENDENT SALEM PARKS AND RECREATION FIELD/COURT PERMIT APPLICATION 1) Name of Street Contact 2) Is Team/Organization Salem Based: YES NO (circle one) Is Team/Organization All Volunteer: YES NO (see Policy for description) If Registered, provide Nonprofit Mass. Bus 3) Field/Court Requested:_______________Sport using Hourly OR Seasonal Dates: Spring / Summer / Fall (circle one) Lights Requested: (if available) Yes No Time Lights ON______Time Lights 4) Requesting Amplified Sound: YES NO If YES, Start time_________End 5) Requesting Vendors: YES NO If YES, How 6) Requesting Canopies/Tents: YES NO If YES, How 7) Request to Place Portable Toilet(s) YES NO If Yes, How 8) Other Miscellaneous 9) Is the Space being requested to be used for a Fundraiser? YES NO Applicant For Office Use Only: Date Received:______________Date Available: YES NO Fee Fee Received Commission Decision Needed: YES NO Date Approved/Denied:___________ Director