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02/28/2013 08:39 7637842501 CENTENNIALLAKES PD PAGE 02/02 <br /> 2. PARKS AND RECREATION DEPARTMENT <br /> Special Events Coordinator; Date: <br /> Initial /sign -off: <br /> 3. POLICE DEPARTMENT <br /> Approved by: --,;, <br /> Signature Tide <br /> Date: J12 $ f 3 <br /> 1. - _Z Emergency vehicle access. <br /> 2. f Traffic/safety street closures. k--pw-ov- yL d Kl �L) <br /> 3. Appropriate barricades. (# Required) <br /> 4. Police personnel required/available. <br /> 5. ^✓ Portable toilet facilities. ( #� Required) <br /> 6. j First aid facilities. (i <br /> 7. Internal ,security and crowd control. <br /> 8. nighttime lighting. <br /> 9. �� Other provisions as may be required by this department. <br /> ho o-tt.kot o ,C- od- I( ill <br /> t w�'�to�fi' �.i� /► De(�e l`a �ih old <br /> c J -.- c -r d . K {m <br /> o 1 P H✓-jt t a <br /> 4. LICENSING AND INSURANCE o r< e.�� $ ,�N -Fer rO c9�s <br /> J1oa- a <br /> Approved by: <br /> Signature Title <br /> Date: <br /> I - Dance and/or live entertainment. <br /> List types or permits or licenses required: <br /> 2. Alcoholic beverages. <br /> 3. Peddlers, <br /> 4. Noise abatement. <br /> 5. Other provisions as may be required: <br /> INSURANCE: Your insurance coverage roust be reviewed and approved by the <br /> City's insurance carrier. <br /> Page 7 of 10 <br />