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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 /> <br />Anoka County Radio ClubTim Neu <br /> <br />Sponsoring Organization Name of Applicant or Contact Person <br /> <br />PO Box 982, Anoka, MN 55303 651-366-0021 <br /> <br />Address (Street, City, State, Zip) Phone Number <br /> <br />tim.neu@gmail.com <br /> <br />tim.neu@gmail.com <br />Email Address: _________________________ <br /> <br />Type of Event: <br /> <br />Run/Walk Planned Demonstration Fundraiser <br />Block Party Ceremony Celebration <br />Ham Radio event <br />Parade Concert Other <br /> <br />Street Fair <br /> <br /> <br />June 25-27, 2021 30 over the whole weekend24hrs <br /> Event Hours <br />Date of Event Anticipated Attendance <br /> <br />ACRC/ARRL Field day 2021 <br />Name or Title of Event: <br /> <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 /> <br />Laurie Lamotte Park, No need to block off, but would appreciate use of building bathrooms and existing park <br />________________________________________________________________________________________ <br /> <br />facilities. Event is 24 hrs and is open to the public. Will follow CDC and state covid guidance including limits. <br />________________________________________________________________________________________ <br /> <br /> <br /> <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 provide services at the event (traffic control, security, barricading streets, <br />5 <br />and use of equipment, etc.) Yes ___ No ____ <br />0 <br />a. Police Security ____ <br />Police Traffic Control ____ <br />0 <br />Barricades ____ <br />0 <br /> Cones ____ <br /> Barricades ____ 0 <br />Picnic Tables (@ Parks Only) ____ <br />0 <br /> <br /> <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 /> <br />