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rod <br /> le <br /> 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(please print). Write N/A(Not <br /> Applicable)where appropriate. <br /> Centerville Lions Tenn Sweeney <br /> Sponsoring Organization Name of Applicant or Contact Person <br /> 7154 Brian Dr 651-373-1554 <br /> Address (Street, City, State,Zip) Phone Number <br /> terry.sweeneyArOlcomcast.net <br /> Email Address: terry.sweeneyArOlcomcast ri <br /> Type of Event: <br /> O Run/Walk Q Planned Demonstration Fundraiser <br /> 8 Block Party O Ceremony OCelebration <br /> Parade O Concert 00ther <br /> Q Street Fair <br /> October 6th, 2018 100 Event Hours 11 -3 + setup/teardowr <br /> Date of Event Anticipated Attendance <br /> Name or Title of Event:Firehouse Chili Cook-Off <br /> Location and Description of Event: (ust any city pans,streets,trails or facilities to be used and/or blocked-off during the event) <br /> Vacant property between Sorel and Heritage on Centerville Rd. <br /> NOTE: <br /> 1) Are police officers needed to provirvioo the event(traffic control,security, barricading streets, <br /> and use of equipment,etc.) Yes N ✓ <br /> a. Police Security .0 <br /> Police Traffic Control 0 <br /> Barricades <br /> Cones .0 <br /> Barricades 0 <br /> Picnic Tables(@ Parks Only) .0 . <br /> 2) A map or diagram of the event must be provided. Looking for routes/direction of travel, locations of <br /> restrooms, serving areas(food and alcohol), stages,fencing and barricades. <br /> 60 <br />