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2. Requesting Party
4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Alternate Phone Number
16. Date Submitted
    Date Submitted
20. Event Information
22. Date(s) and Time(s) of Event
    Date(s) and Time(s) of Event Start Date

    Date(s) and Time(s) of Event Start Time

    —

    Date(s) and Time(s) of Event End Date

    Date(s) and Time(s) of Event End Time
24. Name of business, group or organization that is affiliated with the event:
26. Brief description of event:
30. City Services Needed / Requested
32. Services Needed

    1. Electric
    2. Fire
    3. Police
    4. Street
    5. Water
    6. Other
34. Explain in detail what services are needed:
38. Specific Event Information
40. Did you contact all surrounding residents/businesses?

    1. Yes
    2. No
42. List them here
44. Does the event include the need to close streets or public areas?

    1. Yes
    2. No
46. Explain
48. Will the event require the placement of a tent or temporary structure?

    1. Yes
    2. No
50. Explain
52. Will the event include a parade?*

    1. Yes
    2. No
54. Explain Parade Route
56. Will any items sold during the event?*

    1. Yes
    2. No
57. Do you have the proper permit to serve or sell alcohol?*

    1. Yes
    2. No
59. Will alcohol be served?*

    1. Yes
    2. No
60. Will food be served?*

    1. Yes
    2. No
62. Will alcohol be sold?*

    1. Yes
    2. No
63. Will food be sold?*

    1. Yes
    2. No
65. Are proceeds from event benefiting a non for profit organization?*

    1. Yes
    2. No
67. Explain
69. Will there be any other type of entertainment?*

    1. Yes
    2. No
71. Explain
73. Will the entertainment be broadcast outside?*

    1. Yes
    2. No
74. Are there any residents who oppose the event?*

    1. Yes
    2. No
76. Will the entertainment or event affect a residential area?*

    1. Yes
    2. No
77. Have arrangements been made for clean up at the conclusion of the event?*

    1. Yes
    2. No
79. Have all affected residents been contacted?*

    1. Yes
    2. No
81. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you have contacted all surrounding residents/business that could be affected. 

    1. I agree.
83. Electronic Signature
Leave This Blank:


85. 1. Receive an email copy of this form.
86. Email address

    This field is not part of the form submission.

87. Submit

* indicates a required field