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Application for Use of Port Facilities – Fee Waiver Request form

APPLICANT INFORMATION

Name
Address

EVENT INFORMATION

MM slash DD slash YYYY
If your event will have more than 30 attendees, how do you plan to control parking and traffic?
Please provide any other additional or out of the ordinary event information.
Will Alcohol be Served?
If yes, contact the state liquor control board for a special occasion license.

Fee Waiver Request?

If you are requesting a waiver or reduction of fees, please respond to the following questions.
Are you requesting a waiver of fees?
Are you requesting a reduction of fees?

SUBMISSION ACKNOWLEDGEMENTS & INFO

Applicant Acknowledgements(Required)
Please acknowledge your agreement with the following statements by checking the corresponding box.
Applicant Name(Required)
MM slash DD slash YYYY
Submission Time(Required)
:

Note to Applicant
A hold harmless agreement, insurance or other documentation may be required by the Port of Port Angeles in addition to this application.

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