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Auth lD: <br />Contact lD: <br />Expiration Date: <br />FS-2700-3c (v . 07 t201 2) <br />OMB No.0596-0082 <br />USDA, Forest Service <br />SPECIAL-USE APPLICATION & PERMIT FOR <br />RECREATION EVENTS <br />(Ref.: 36 CFR 251) <br />Authority: Federal Lands Recreation <br />EnhancementAct, 16 U.S.C. 6802(h) <br />FOREST SERVICE USE TYPE 18,I <br />DATE RECEIVED ISSUE DATE EXPIRATION DATE <br />REG./FOR./DIST AUTH. ID.STATE / COUNTY <br />PART I - APPLICATION <br />1. APPLICANT INFORMATION: <br />Name of Group: Meridian Geographics <br />Name of Contact: Angela Cline <br />Address: 7400 Sand Point Wav NE, Suite 2012N <br />Seattle. WA 98115 <br />Applicant's Agent Anqela Cline <br />Agent's Address: 7400 Sand Point Way NE. Suit 2012N _ <br />Seattle. WA 98'l 15 <br />Phone Agent's Phone: ( 910 ) 548-4943 <br />Fax Number: ( ) <br />Corporate Tax lD:E-mailAddress: angela@merqeo.com <br />IF AN OPERATING PLAN IS REQUIRED, SIGN APPLICATION AND STOP HERE. OTHERWISE, COMPLETE ITEMS 2 <br />THROUGH 7. <br />2. DESCRIPTION OF PROPOSED ACTIVITY: <br />Trial running event with 5K, 7-mile, and Half-Marathon distances. <br />3. LOCATION & DESCRIPTION OF NATIONAL FOREST SYSTEM LANDS & FACILITIES APPLICANT WOULD LIKE TO <br />usE (TNCLUDE MAP): <br />Map attached. <br />4. ESTIMATED NUMBER OF PARTICIPANTS & SPECTATORS FOR PROPOSED ACTIVITY <br />Participants: 50 Spectators; 10 <br />5. STARTING & ENDING DATE & TIME OF PROPOSED ACTIVITY: <br />Start: 61312023 6:00am End: 61312023 _6:30pm <br />TimeDateTimeDate