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Special Event Permit

2. PER ORDINANCE 2010-04-11
   An application for a SPECIAL EVENT PERMIT shall be filed not less than 21 days before the date on which the event is scheduled to take place.

   An application for a SPECIAL EVENT PERMIT shall be filed not less than 21 days before the date on which the event is scheduled to take place.

4. Organization Head Quarters

6. First Name*

7. Last Name*

8. Phone Number*

10. Address*

12. City*

13. State*

14. Zip Code*

18. Representative

20. First Name*

21. Last Name*

22. Phone Number*

24. Address*

26. City*

27. State*

28. Zip Code*

32. Applicant (If Different)

34. First Name*

35. Last Name*

36. Phone Number*

38. Address*

40. City*

41. State*

42. Zip Code*

46. Type of Event*
    -- Select One --CeremonyConcertDemonstrationExhibitionParadeShowOther

47. Other Type of Event

49. Date & Time Scheduled*
    Date & Time Scheduled Start Date

    Date & Time Scheduled Start Time

    —

    Date & Time Scheduled End Date

    Date & Time Scheduled End Time

51. Special Notes About Schedule

53. Purpose of Special Event*

54. Exact Location of Event*

56. Approximate Number of Spectators & Participants*

58. Nature & Types of Activities*

60. Exact Location of Marshaling & Staging Area

61. Parade Units Arrival Time
    Parade Units Arrival Time

62. Parade Units Departure Time
    Parade Units Departure Time

64. Parade Route

    Upload a map showing exact route to be traveled by parade.

65. Parade Participants

    Upload approximate number of people, animals, and vehicles participating (include description of types of animals and vehicles).

67. Will the parade occupy all of the width of a street, roadway, or sidewalk?

    1. Yes
    2. No

69. Approximate Number of Spectators & Participants

70. Number of Temporary Directional Signs

72. Public Facilities or Equipment to be Used

73. Copy of State Permit

    If a state roadway is used, upload a copy of the permit issued from the state.

77. Fireworks Requirements

79. Type & Quantity

    Upload a detailed listing of the type and quantity of fireworks to be used.

80. Safety Procedures

    Upload a detailed written statement outlining all appropriate safety procedures, which will be used at fireworks display in order to protect the safety of the public and all, surrounding property.

82. Storing Fireworks

    Upload a detailed written statement describing what facilities and containers will be used to store fireworks.

83. Federal License Number

    If applicable, upload the applicants federal license number for transporting fireworks across state line.

85. Participant Information

    Upload a detailed list of names, addresses, occupations, and backgrounds of all individuals who will be responsible for the actual display, use or explosion of any fireworks. The backgrounds statement should include a complete history of the experience of the individuals involved with respect to their use to fireworks, including a detailed list and explanation of each and every accident resulting from the use of fireworks, which the individual has been responsible for, or involved in.

87. Launch & Fall Out Map

    Upload a map showing exact launches point and area of fallout.

91. Applicant's Signature*

93. Agreement*

    By clicking "I Agree," you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I agree.
97. For Personal Use Only

99. Police Chief Approval

    1. Yes
    2. No

100. Approval Date
     Approval Date

101. Conditions for Permit

103. Fire Chief Approval

     1. Yes

     1. No

104. Approval Date
     Approval Date

105. Conditions for Permit

107. City Manager Approval

     1. Yes

     1. No

108. Approval Date
     Approval Date

109. Conditions for Permit

Leave This Blank:


110. 1. Receive an email copy of this form.
111. Email address

     This field is not part of the form submission.

112. Submit Submit and Print

* indicates a required field