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entervilfe <br />�Y'1_i�rf�',.•rn•.i 1.<�; CITY OF CETERVILLE <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 />Centerville Lions <br />Sponsoring Organization <br />6849 Centerville Road. Centerville. MN 55038 <br />Address (Street, City, State, Zip) <br />ml ou wilharb (-) gmai l . c om <br />Email Address: nnlouwilharbngnail.com <br />Type of Event: <br />O Ruri/Walk <br />8 Block Party <br />O Parade <br />® Street Fair <br />Anvil 22.2023 200 <br />Lion Mary Lou Wilharber <br />Name of Applicant or Contact Person <br />651-485-7098 <br />Phone Number <br />OPlanned Demonstration <br />O Ceremony <br />O Concert <br />Date of Event Anticipated Attendance <br />Name or Title of Event: Centerville Lions Cadillac Dinner <br />Q Fundraiser <br />O Celebration <br />®Other _ <br />Event Hours S a.m. - 1 l n.m. — <br />Location and Description of Event. (Last any City parks, streets, trails or facilities to be used andlor blocked -off during the event) <br />St. Genevieve's Communitv Center _ 6995 Centerville Road., Centerville. MN 55038 <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 t 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 />