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6. ESTIMATED REVENUE COLLECTED FOR EVENT: <br />Amount 5,000 Type of Fees:Rece liekels t-shirt sales <br />(lnclude event charges, vendor fees, discounts, sponsorship related fees, gratuities) <br />7. NAME OF PERSON(S) WHO WILL SIGN A SPECIAL-USE AUTHORIZATION ON BEHALF OF THE EVENT: <br />I hereby acknowledge that is an application only, and that the use and occupancy of National Forest System lands is <br />not authorized until an authorization is signed and issued by an authorized officer. <br />Printed Name: Anqela Cline Signature: Aa4grn,Cting Dale 31112023 <br />Printed Signature ala' <br />1 I U.S.C. $ 1001 makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, <br />fictitious, or fraudulent statements or representations as to any matter within its jurisdiction. Anyone who knowingly or willfully makes or uses <br />any false writing shall be fined not be more than 910,000 or imprisoned not more than five years, or both.