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OXI, MS.39530 / PAYABLE: CITY OF BILOXI GROUP(S) OR INDIVIDUAL(S) NAME(S): (Permittee) ADDRESS: Zip code TELEPHONE NUMBER: HOME WORK TYPE OF EVENT: NUMBER OF PARTICIPANTS: SET UP TIME: START TIME: CLOSE TIME: It is hereby agreed between the City of Biloxi Parks and Recreation Department and the above Permittee that the named facility is reserved on: . The person requesting this.

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