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Parks & Recreation

Healthy Parks, Healthy Portland

Phone: 503-823-PLAY (7529)

Fax: 503-823-6007

1120 SW Fifth Ave., Suite 1302, Portland, OR 97204

Non-Park Use Permit Application
Please read the application information on the previous page before completing this form. You must provide information in fields marked with an asterisk *.

APPLICANT INFORMATION

On-Site Project Manager

*
*

Person authorized to sign binding legal documents

This person will be required to sign the completed permit.
*
*

CONTRACTOR INFORMATION

No contractor is authorized to work unless specifically named in the permit or a formal amendment.

On-Site Project Manager

Person authorized to sign binding legal documents

PROJECT SUMMARY

CONSTRUCTION INFORMATION

SUPPORTING DOCUMENTATION

Use the following field boxes to upload maps, insurance certificates, site photos, product specifications sheets or other documents. Submit these materials now - or you can send them in by email, fax or regular mail later.
(Maximum file size: 30MB)
(Maximum file size: 30MB)
(Maximum file size: 30MB)

COMMENTS

* Required Field