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ClI;t eTv �(C- <br />- e 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 />Carterville Lions Club <br />Sponsoring Organization <br />7155 Brian Drive. Centerville MN <br />Address (Street, City, State, Zip) <br />ieselhorst a qxom <br />Email Address: y:kieselhorst_aki.com <br />Type of Event: <br />0 Run/Walk <br />8Block Party <br />Parade <br />Street Fair <br />Jul % 12th-1 Gth <br />Date of Event <br />Urea- Kieselhorst <br />Name of Applicant or Contact Person <br />651-325-6408 <br />Phone Number <br />Q Planned Demonstration <br />()Ceremony <br />Concert <br />Will van durinL Events <br />Anticipated Attendance <br />Name or Title of Event: Fete des Lacs - Ceiiterville Lien Events <br />Q Fundraiser <br />Celebration <br />C)Other <br />Event Hours http://fetcdeslacs.ori, <br />Location and Description of Event: (List any City parks, streets, trails or facilities to be used andlor blocked -off during the event) <br />Laurie LaMutte Memorial Park. Jul% 14th-16th <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 <br />a. Police Security g <br />Police Traffic Control 0 <br />Barricades <br />Cones 0 <br />Barricades 0 <br />Picnic Tables (a@ 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 />