Laserfiche WebLink
<br />Signature <br /> <br />Title <br /> <br />Date: <br /> <br />1. _ Dance and/or live entertainment. <br />List types or pennits or licenses required: <br /> <br />2. _ Alcoholic beverages. <br />3. Peddlers. <br />4. Noise abatement. <br />5. _ Other provisions as may be required: <br /> <br />INSURANCE: Your iDSUrante eoverage lDust be reviewed and approved by tbe <br />City's insurance carrier. <br /> <br />1. _ Public liability insurance naming City ofCenterville and other public agencies <br />additionally insured is required. <br />2. Hold harmless forms executed and failed. <br />3. _ List and approve/disapprove other insurance coverage as may be required. <br /> <br />s. FIRE DEPARTMENT <br /> <br />Approved by: <br /> <br />Signature <br /> <br />Title <br /> <br />Date: <br /> <br />1. _ Emergency vehicle access. <br />2. _ Use of fireworks, pyrotechnics, vehicle fueL open flame. <br />3. _ Cooking facilities. <br />4. _ Occupancy and spacing of tables, enclosures. <br />S. _ Parade, floats. <br />6. _ Tents, air supported structures, canopies. <br />7. _ Other provisions as my be required by this department: <br /> <br />6. BUILDING DEPARTMENT <br /> <br />Approved by: <br /> <br />Signature <br /> <br />Title <br /> <br />Date: <br /> <br />Page 8 of 10 <br /> <br />33 <br />