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femi((e <br />J'..nd17.d7d,1Avir 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 />Church of St, Gen's <br />Sponsoring Organization <br />7067 Croiffon Road <br />Address (Street, City, State, Zip) <br />Centetville, MN 55038 <br />Email Address: Centerville, MN 55038 <br />Type of Event: <br />C) Run/Walk <br />[ Block Party <br />(� Parade <br />Street Fair <br />August 20, 2023 <br />Date of Event <br />SU SI e �bec1 <br />Name of Applicant or Contact Person <br />U,5 + _q2-q q -7 <br />Phone Number <br />[Planned Demonstration <br />[Ceremony <br />O Concert <br />250+ <br />Anticipated Attendance <br />Name or Title of Event: Annual Parish Festival <br />Fundraiser <br />E)Celebration <br />Q)Other Parish Festival <br />Event Hours — ( � am _ L� 0/11 <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 />6995 Centerville Road, Centetville, 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 No _L� I . <br />a. Police Security 0 <br />(Police Traffic Control 0 <br />Barricades <br />Cones 0 <br />Barricades 0 <br />Picnic Tables ([,3a 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 />