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��terviffe <br />. <br />`�- ;,.,�,��a�..7I.- 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 />Anoka County Radio Club <br />Sponsoring Organization <br />PO Box 982 <br />Address (Street, City, State, Zip) <br />Anoka. MN 55303 <br />Email Address: Anoka. MN 55303 <br />Type of Event: <br />© Run/Walk <br />8 Block Party <br />Parade <br />0 Street Fair <br />6/23-6/25 . 24hr event <br />Tim Neu <br />Name of Applicant or Contact Person <br />651-366-0021 <br />Phone Number <br />®Planned Demonstration <br />O Ceremony <br />® Concert <br />25-30 over the weekend <br />Date of Event Anticipated Attendance <br />Name or Title of Event: ACRC / ARRL Field Da% 2023 <br />© Fundraiser <br />@Celebration <br />Other Ham Radio Event <br />Event Hours Fri Eve to Sun Afternoon <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 />Laurie Lamotte Park. No need to block off. but would appreciate use of the building bathrooms and park <br />facilities. Event is 24 hrs and is oven to the public. We use the parking lot, trails/tables & unoccupied fields <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�erviceai,the event (traffic control, security, barricading streets, <br />and use of equipment, etc.) Yes 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 />