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y muuu�v <br /> lil <br /> C 0FI C"I"'E guuu uuuuw IIN IIS <br /> IIIIIIIIIIII VW' Nllli,� IIIIR�llllllllllu WIIIUW <br /> IIID ullll �IIIIIIIII VIII llllllllo iiiiiiill'p oiplfNM IIII IIIIR IIIY'lll <br /> nl Ilryl�llllll IIII' IIIOIIIIII III 1 17 1 gyll1p1[01M <br /> Please read information on applying for Special Event Permit before completing this application. Please bre <br /> in ful that fees may be associated with your request. Answer all questions (please print), Write 1 (Not <br /> Applicable)where appropriate, <br /> Sponsoring Organization Name of Applicant or Contact Person <br /> Address (Street, City, State,, ; iip) Phorie Number ... <br /> P <br /> Erna ll Adder ��1,'�,'t// �''I r�r'� �J,'r i, '�1 I;�;..l2 "'Al <br /> Type of IEvnt„ <br /> I Riu n iI Pll irin d Demonstration Fit�lirldraliseir <br /> Bloc P rll 0 C rn„urnory ,Ilebr antnnn <br /> ral <br /> ., <br /> �j-W,� w � il.ir <br /> 10 zi.raet FairUV <br /> d, <br /> 0 <br /> � Event IHouir <br /> ['.N.:11I of IEv irnt Anticipated Attendance <br /> Name 11 <br /> �� ....� mm., l r�r `� <br /> r Title f Ev int...� % ;�� <br /> Location and Description of Event. (List any City parks,streets,trails®r facilities to be used and/or blocked-off during the€v nt) <br /> NOTE: No permanent markings of route allowed cern any streets, sidewalks, or trails in the City of Centerville. <br /> 1) Are police officers needed to pro iervice the event (tr ffii control, security, Iber�rio ding ,itui°e tsp <br /> and use of equipment, etc..) Yes No <br /> .. Police Security <br /> IP liic "Traffic Control 0 <br /> Barricades <br /> Cones <br /> Barricades <br /> IPiioniic T blies IParksOnly) a <br /> ) A snap Jnr di .gir rn of the eventmust Ibe provided., ILoolkirng for routes,idiurection of travel, locations of <br /> irestroorns, serving areas (food andalcohol), stages, fencing and Ib rrio .des„ <br /> 9 <br />