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CICI""'-"/� <br /> ��`e �f l <br /> .,lY,` � - 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 (please print). Write N/A (Not <br /> Applicable)where appropriate. <br /> Centerville Lions Club Greg Kieselhorst <br /> Sponsoring Organization Name of Applicant or Contact Person <br /> 7155 Brian Drive 651-325-6408 <br /> Address (Street, City, State, Zip) Phone Number <br /> gkieselhorstna,q.com <br /> Email Address: gkieselhorst(aq.com <br /> Type of Event: <br /> Run/Walk 0 Planned Demonstration Fundraiser <br /> Block Party Ceremony 0 Celebration <br /> Parade C)Concert 00ther <br /> Street Fair <br /> 4-27-2019 150 Event Hours 6-10pm <br /> Date of Event Anticipated Attendance <br /> Name or Title of Event: Cadillac Dinner <br /> Location and Description of Event: (List any city parks, streets, trails or facilities to be used and/or blocked-off during the event) <br /> St. Genevieve Parrish Center, 6995 Centerville Rd, Centerville <br /> Prime Rib Dinner Fundraiser with Raffles <br /> NOTE: No permanent markings of route allowed on any streets, sidewalks, or trails in the City of Centerville. <br /> 1) Are police officers needed to prowl erviceMthe event (traffic control, security, barricading streets, <br /> and use of equipment, etc.) Yes ri No _U <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 /> 35 <br />