2011-03-09 CC Packet - Laserfiche WebLink

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Name of Representative: _ Address: Day phone: Evening phone: Indicate medical services (if required) that will be provided for this event: Ambulances: Doctors: Nurses: Paramedics: 9. VENDORS OR CONCESSIONAIRES: Describe what vendors/concessionaires you will a11ow in conjunction with the event, and the purpose of these concessions: N/A Describe how you intend to regulate, monitor and control the type, number and quality of vendors/concessionaires whom you may permit to operate in conjunction with the event: N/A 10. CITY SERVICESBQUIPMENT: Describe city services and/or equipment requested for this event: City barricades, cones, signs, picnic tables and other equipment which may be borrowed on a.n as-available basis. You should make advance arrangements to pick up and return this equipment. If you or any volunteers cannot pick up and return this equipment, please attach a letter requesting these services and explaining why your organization cannot perform them. This will be reviewed, then approved or denied by the public works foreman. Parking Cones 11. OTHER PERTINENT INFORMATION: Please list below any other miscellaneous information you feel would be important and have a bearing on the approval of this Special Event Permit request: 12. FEE STRUCTURE / EVENT CHARGES: If there is a fee or donation required as a condition of attendance or participation of this event, please describe the amounts to be collected from various categories of participants or spectators: Free Event. Donation from the Lions Club back to the Communitv Page 5 of 10 16 ,