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Event Memo & Details
Street Closure Details
Terms for Block Party
Block Party/Street Closure
Comments
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Event Details
Event Name:
Application Date:
Select a date
...
Applicant Name:
Organization Name:
Indicate if Organization is Profit or Non Profit:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Phone Number:
Alternate Number:
Email Address:
Event Start Date:
Select a date and time
...
Event End Date:
Select a date and time
...
Estimated Attendance:
Estimated Vehicles:
Will Alcohol Be Sold, Served or Consumed?:
Will Food, Goods, or Services be Sold or distributed?:
Is there an Admission Fee?:
If Yes, how much?:
Will Outdoor Musical Entertainment Be Provided?:
If Yes, what type?:
Is the Event Being Promoted to the Public?:
If Yes, How is the Event Being Promoted?:
I certify that the above information, to the best of my knowledge is correct. I also, certify and understand that if I misrepresent the size and scope of event, or obtain this permit fraudulently, future permits will be denied.
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Date Submitted:
Select a date
...
Event Start Date:
Select a date
...
Event End Date:
Select a date
...
Name of Organization/Event Sponsor:
Applicant/Contact Name:
Contact Phone:
Contact Email Address:
Contact Fax:
Title of Event:
Event Duration:
If Road Closure(s) involved:
Closure Start Time (incl. Set up/Barricades):
Select a date and time
...
Closure End Time (Barricades removed):
Select a date and time
...
Please describe road(s) to be closed and/ attach map (required):
“See Attached Map” is not acceptable. Please list each road that will be closed (with limits from – to) and the duration of the closure.
DO NOT USE THIS FORM FOR EVENTS THAT WILL CLOSE STATE ROAD(S) AND/OR REQUIRE LOCKDOWN OF THE MAIN STREET OR ORTEGA DRAWSPAN
Type a value
Attach Map Here:
Click here to attach a file
Please describe detour route and attach map(if applicable):
Type a value
Attach Detour Map here:
Click here to attach a file
Is the Event in a Residential Neighborhood?:
(If the Event is in a Residential Neighborhood written consent of at least 70% of occupants of property in the neighborhood is needed)
THE CITY’S GRANTING OF A BLOCK PARTY PERMIT DOES NOT ELIMINATE ANY PRIVATE RESTRICTIONS THAT MAY EXIST WITHIN A COMMUNITY REGULATED BY A HOMEOWNER’S ASSOCIATION (HOA).
ENFORCEMENT OF ANY AND ALL PRIVATE RESTRICTIONS IS THE RESPONSIBILITY OF THE HOMEOWNERS OF THEIR COMMUNITY, INCLUDING HOA REQUIREMENTS.
Please attach the written consent here:
Click here to attach a file
Property Type:
Any Special Conditions?:
Describe Special Conditions:
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Insurance Requirements
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Hold Harmless and Indemnification Agreement
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Marking Of Pavement/Clean-up For Special Event
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Certification
I certify that the above information, to the best of my knowledge is correct. I also, certify and understand that if I misrepresent the size and scope of event, or obtain this permit fraudulently, future permits will be denied.
Agree To All
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Event Details
Event Name:
Application Date:
Select a date
...
Applicant Name/Organization:
Organization Name
Indicate if Organization is Profit or Non Profit:
Address Line 1:
Address Line 2
City:
State:
Zip Code:
Phone Number:
Alternate Number:
Email Address:
Event Start Date
Select a date and time
...
Event End Date
Select a date and time
...
Estimated Attendance:
Estimated Vehicles:
Is there an Admission Fee?:
If Yes, how much?:
Will Outdoor Musical Entertainment Be Provided?:
If Yes, what type?:
Will Alcohol Be Sold, Served or Consumed?:
Will Food, Goods, or Services be Sold or distributed?:
Is the Event Being Promoted to the Public?:
How is Event Being Promoted?:
I certify that the above information, to the best of my knowledge is correct. I also, certify and understand that if I misrepresent the size and scope of event, or obtain this permit fraudulently, future permits will be denied.
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
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DATE SUBMITTED:
Select a date
...
EVENT START DATE:
Select a date
...
EVENT END DATE:
Select a date
...
NAME OF ORGANIZATION/EVENT SPONSOR:
APPLICANT/CONTACT NAME:
CONTACT PHONE:
CONTACT E-MAIL ADDRESS:
CONTACT FAX:
TITLE OF EVENT:
EVENT DURATION:
IF ROAD CLOSURE(S) INVOLVED:
CLOSURE START TIME (INCL. SET UP/BARRICADES):
Select a date and time
...
CLOSURE END TIME (BARRICADES REMOVED):
Select a date and time
...
PLEASE DESCRIBE ROAD(S) TO BE CLOSED AND/ ATTACH MAP (REQUIRED):
“See Attached Map” is not acceptable. Please list each road that will be closed (with limits from – to) and the duration of the closure.
DO NOT USE THIS FORM FOR EVENTS THAT WILL CLOSE STATE ROAD(S) AND/OR REQUIRE LOCKDOWN OF THE MAIN STREET OR ORTEGA DRAWSPAN
Type a value
ATTACH MAP HERE:
Click here to attach a file
PLEASE DESCRIBE DETOUR ROUTE AND ATTACH MAP:
Type a value
ATTACH DETOUR MAP HERE:
Click here to attach a file
IS THE EVENT IN A RESIDENTIAL NEIGHBORHOOD:
(If the Event is in a Residential Neighborhood written consent of at least 70% of occupants of property in the neighborhood is needed)
THE CITY’S GRANTING OF A BLOCK PARTY PERMIT DOES NOT ELIMINATE ANY PRIVATE RESTRICTIONS THAT MAY EXIST WITHIN A COMMUNITY REGULATED BY A HOMEOWNER’S ASSOCIATION (HOA).
ENFORCEMENT OF ANY AND ALL PRIVATE RESTRICTIONS IS THE RESPONSIBILITY OF THE HOMEOWNERS OF THEIR COMMUNITY, INCLUDING HOA REQUIREMENTS.
Consent Attachment
Click here to attach a file
Property Type:
ANY SPECIAL CONDITIONS?:
No
Yes
DESCRIBE SPECIAL CONDITIONS:
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Comments:
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