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Clen I en I i I [C <br />CITY OF CENTERVILLE <br />SPECIAL EVENT PERMIT APPLICATION <br />Please read Information on applying for Special Event Permit before completing this application. Please be <br />mindful that fees may be associated with your request. Answer all questions (plamm print). write WA (Not <br />Applicable) where appropriate. <br />City of Centerville Kern Kolstsd <br />Sponsoring Organization Name of Applicant or Contact Person <br />1880 Main Street 651.280.7299 <br />Address (Street, City, State, 23p) Phone Number <br />kerb fetedeslscs.ora <br />Email Address: keari(alfetedeslacs ora <br />Type of Event: <br />• RunAVaik OPlanned Demonstration OFundralser <br />Block Party OCeremony Celebration <br />Parade OConcert 80ther <br />Street Fair <br />July 22.2017 200 adults and children Event Hours lam -10nm <br />Date of Event Anticipated Attendance <br />Name or Title of Event: Fete des Lacs 8K/5KlKids Run <br />Location and Description of Event: (List any city paths, sbEete, traft or fadhes to be used andlor Mocked -off ding be emd) <br />Tho Fete des Lacs Ruining Event will start and end at Hidden Sorin¢ Falls and utilize Laurie LaMotte Drivc. <br />Centerville. Road, and nark trails around Centerville Lake. No can on LaMotte Drive durma event. <br />NOTE: No permanent marldngs of route slowed on any streets, sidewalks, or trails in the City of Cerrhmde. <br />1) Are police officers needed topthe event (traffic control, security, barricading streets, <br />and use of equipment, ate..) Yea ✓ No n <br />a. Police Security 0 ` (2,udoA <br />Police Trafflc <br />Barricades Control .2a y�Yvi�t U"e- D <br />Cones .0 <br />Barricades 0 <br />Picnic Tables (Q Parks Only) .0 <br />2) A map or diagram of the event must be provided. Looldng for routes direction of travel, locations of <br />restrooms, serving areas (food and alcohol), stages, fencing and barricades. <br />3 <br />