Laserfiche WebLink
s?11 tEroiffz <br /> Centerville <br /> Special Event Permit Application — on Private Property <br /> I. TITLE, PURPOSE, AND BRIEF DESCRIPTION OF EVENT: Church of St. Genevieve <br /> Council of Catholic Women (CCW) Quilt Raffle - raise funds for mission outreach <br /> New Application: yes Renewal of or Change in Application: <br /> Has this event been held in the past? F Yes n No If so, when? <br /> CONTACT PERSON: Janet Tyndell <br /> TELEPHONE: 651- 429 -7937 OR EMAIL: jtyndell@usfamily.net <br /> 2. IDENTIFYING INFORMATION: <br /> Attach a written communication from the organization(s) in whose name the event will be advertised which <br /> authorizes you, the applicant, to apply for this special event permit on its /their behalf. <br /> Applicant's Name: Janet Tyndell Title: Parish Administrator <br /> Address: 7087 Goiffon Rd Centerville, MN 55038 <br /> Mailing Address: <br /> Affiliation: Church administrator <br /> Day Phone: 651- 429 -7937 Evening Phone: <br /> Emergency Phone: <br /> 3. EVENT PRINCIPALS: <br /> Following, please list the names, addresses and telephone numbers of all the principals involved in any of the <br /> proposed special event. Include professional event organizers, event promoters, financial underwriters, commercial <br /> sponsors, charitable agencies for whose benefit the event is being produced, the organization(s) in whose name the <br /> event is being advertised, and all others administratively, financially and organizationally involved as principals in <br /> the production of the proposed special event. Make additional copies of the following as needed to include as of the <br /> principals involved in the proposed special event. <br /> Name: Elaine Monitor <br /> Organization/Business /Agency /Affiliation: St. Genevieve CCW <br /> Is this a non - profit organization? ✓ Yes No <br /> If you are making application under non - profit status, proof of non - profit status must be attached to this application <br /> Mailing Address: 13401 Homestead Ave N Hugo, MN 55038 <br /> Day Phone: 651- 429 -2944 Evening Phone: <br /> Title and functional responsibility with regard to the event: Co -chair of CCW overseeing raffle <br /> Page 1 of 5 <br /> P13 <br />