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t 't itip" <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 (please print). Write N/A (Not <br /> Applicable)where appropriate. <br /> Church of St. Genevieve Susie Irlbeck <br /> Sponsoring Organization Name of Applicant or Contact Person <br /> 7087 Goiffon Rd 651-429-7937 <br /> Address (Street, City, State, Zip) Phone Number <br /> sirlbeck(a,stgens.org <br /> Email Address: sirlbeck(a-),stgens.org <br /> Type of Event: <br /> 0 Run/Walk O Planned Demonstration 0 Fundraiser <br /> 8 Block Party OCeremony Celebration <br /> Parade C)Concert 00ther <br /> Street Fair <br /> August 18 1400 Event Hours Ham-4pm <br /> Date of Event Anticipated Attendance <br /> Name or Title of Event: St. Genevieve Parish Festival <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 /> Chicken Dinner and games at the Parish Community Center at 6995 Centerville Rd. <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 proviriP ervice, the event (traffic control, security, barricading streets, <br /> and use of equipment, etc.) Yes No _ ✓ . <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 />