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atntervilfe <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 />Centerville Elementaiy PTA <br />Sponsoring Organization <br />1721 Westview Avenue <br />Address (Street, City, State, Zip) <br />ksimons2(iNrave1ers.com <br />Email Address: ksimons2(ikrave1ers.com <br />Type of Event: <br />O Run/Walk <br />8 Block Party <br />Parade <br />® Street Fair <br />8/31/2022 <br />Date of Event <br />Katev Simonson <br />Name of Applicant or Contact Person <br />651-245-6507 <br />Phone Number <br />Planned Demonstration <br />OCeremony <br />O Concert <br />500 <br />Anticipated Attendance <br />Name or Title of Event: Back to School Night (Open House) <br />Fundraiser <br />Celebration <br />Other _ <br />Event Hours 4-7pm <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 />Back to school night is 8/31 for our school. Kids will be able t meet their teachers etc. <br />The PTA is wini4 to host families and provide ice cream/ inflatables to provide an opportuity to socialize. <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 provir►P ervice, the event (traffic control, security, barricading streets, <br />and use of equipment, etc.) Yes F No _ ✓ M. <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 />