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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 NIA (Not <br />Applicable) where appropriate. <br />Midwest MuItisport Races <br />Sponsoring Organization <br />2370 Countv Road J, Suite 103 <br />Address (Street, City, State, Zip) <br />iudi(a),,mmraces.com <br />Email Address: iudi(a,mmraccs.com <br />Type of Event: <br />RunPvValk <br />Block Party <br />Parade <br />® Street Fair <br />March 18, 2023 <br />150 <br />Judi Fluarer <br />Name of Applicant or Contact Person <br />6514409625 1� <br />Phone Number <br />QPlanned Demonstration <br />®Ceremony <br />Concert <br />Date of Event Anticipated Attendance <br />Name or Title of Event: Shake Your Shamrock <br />Q Fundraiser <br />Q Celebration <br />Other <br />Event Hours 9-noon <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 />5k and 7k run/walk on the paths leading through Rice Creek Chain of Lakes park. Race starts on the path behin( <br />then runs through the park, back on main to finish. Awards party at Kelly's Korner Bar. <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 provi ervice� the event (traffic control, security, barricading streets, <br />and use of equipment, etc.) Yes � 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 />