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4. REQUESTED EVENT COMPONENTS: <br /> Date r�uested: � � � � Alternate date: -��'' � � <br /> Requested hours of operation: O: r" (,�n./p.m.) To: 2%t�a (a.m.lg�) <br /> Set up beginning date and time: %`* � G-1t- t i <br /> Complete dismantle date a��d time: 3'• �+► w- `-�t-�l <br /> Describe tke number and type of animals (if any) to be used in this event: � pw� <br /> Attach a draft of the enhy form far participants and/or spectators. <br /> Anticipated number of participants: �� '�-o Spectators: ! S"'s-�' <br /> 5. INSUR.ANCE: <br /> Attacli bo thi� application either an insurance policy or a certificatc of irLSUraace including tfie policy number, <br /> amount, and d�c provisions ll�at the City of Cenierville is includod as an additional insured (Pk�sc notc that <br /> insurancc iroguinements depcnd upon the risk level of the event Also, if your event can be classified as frcst <br /> amcndn�t cxprrssive acGvity, insurance requirements can be waivcxl under certain circumstances,j <br /> 6. SANITATiON: �- S� �M�Q <br /> Aitach yatr "Ptan f� clean-upJMateria) Preservation". Include number, type and location of Uash cantaineis to be <br /> �vided for tbe event Tndicatie who and how man will be responsible for e�n�►tying aad cleaniog up aronnd <br /> contaiaeYS duciog tl�e cv�k I�icate who and how msny will be m,sponsible for cleaning np atta animats if the�r are <br /> Preseut ducing d�e event �ndicate who and how many will be nspoasible f+� cleaning up ai4a the ewn�t Desrn'l� <br /> the n�r, type and bcati� of porrable toilets to be p�ovided for the eve,�t (or �t toil+�s W be �ed 'm the <br /> ev�et) Inclu�de any other plan you have far ensucing post-ev�t clea�nlin�.s ard materisl �valia� of city <br /> facilities, �m�m� p�is�„s and st�eets. A dc�sit of 5500 will be rraaircd for ele�e-�p and r�sbunti�a, If <br /> nre�nis�es u+e � io sat�sdarv �ndition. t�is deaaait vrill be refunded Lr fe� foNe�ie¢ �oa. <br /> �. LOCAT'IOt�i: <br /> Ple�re a�tyach a map of your event land design. Check ot� b�elovv ite� �at a�ply to yow event <br /> and indi�a�te � on ifie allached map. Use, where necessary, a'"to scale" drawing. <br /> �1. /� � If a route is inwol�ed, the beginning and finish ar�ea with arrows. <br /> B. if � route is invo��ed., die ptaces where buses, autos or oth�xx maltiurized vehrcle� nesd �to <br /> 9� c�or�it�et�d. <br /> C. If � hnute i� invol�ed, attach separate maps giving t�o �r more all�ate rowt�. <br /> D. ��inme�lt or stag�e bca�ions (grandstand operaltors sha�ld provi� y� �►idi a <br /> ""� �t�'° drar��ing-) <br /> �. ��u�leoc b�ae�g+e c�on�ion ar�ea. <br /> F. �lf lic c.�m�ssion area.. <br /> �. �'�d - on �. <br /> t�. i��chaundi.� a�o�'ron are�, �.- R-np <br /> [. P tt�il�+t i6��elit+� �ndicate numb�r�-�° P � <br /> .�. ��n� �a�n�� �or �taltor parlcing an�.-. �A���'T° <br /> K.. ��n� ��m��'°� �It, <br /> I P�g,e � of 10 <br /> 24 <br /> � <br />