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Cnte' viffe l., wu,,omu,. CITY OF CENTERVILLE SPECIAL EVENT PERMIT APPLICATION Please read information on applying for Special Event Permit before completing this application. Please be mindful that fees may be associated with your request. Answer all questions (please print). Write NIA (Not Applicable) where appropriate. Anoka Counts Radio Club Sponsoring Organization PO Box 982 Address (Street, City, State, Zip) Anoka MN 55303 Email Address: Anoka, MN 55303 Type of Event: 0 RunANalk 8 Block Party Parade 0 Street Fair 6/23-6/25 24hr event Date of Event Tim Neu Name of Applicant or Contact Person 651-366-0021 Phone Number ()Planned Demonstration ()Ceremony Concert 25-30 over the weekend Anticipated Attendance Name or Title of Event: ACRC 1 ARRL Field Da%�, 2023 0 Fundraiser Celebration Other Ham Radio Event Event Hours Fri Eve to Sun Afternoon Location and Description of Event: (List any City parks, streets, trails or facilities to be used and/or blocked -off during the event) Laurie Lamotte Park. No need to block off but would appreciate use of the building bathrooms and Y7ark facilities. Event is 24 hrs and is open to the public. We use the ilarkim- lot. trails/tables & unoccui ted fields NOTE: No permanent markings of route allowed on any streets, sidewalks, or trails in the City of Centerville. 1) Are police officers needed to provi4e4erviceat,the event (traffic control, security, barricading streets, and use of equipment, etc.) Yes No uU a. Police Security .0 Police Traffic Control 0 Barricades Cones 0 Barricades 0 Picnic Tables (@ Parks Only) .0 2) A map or diagram of the event must be provided. Looking for routes/direction of travel, locations of restrooms, serving areas (food and alcohol), stages, fencing and barricades.