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<br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: _02-09-2007 Alternate date: 02-16-2006 <br />Requested hours of operation: _11am (a.m./p.m.) To: _2pm (a.m./p.m.) <br />Set up beginning date and time: 02-07-2006. Sam <br />Complete dismantle date and time: 02-18-2oo6.8pm <br />Describe the number and type of animals (if any) to be used in this event: Nt A <br /> <br />Attach a draft of the entry form for participants and/or spectators. <br />Anticipated number of participants: 1W'73OO to 2,000 Spectators: Very few <br /> <br />5. INSURANCE: *TJ Adams Group Ins. has been applied for, with the City of C entervil Ie, Anoka <br />County Sheriff as add-on's. Attach to this application either an insurance policy or a certificate <br />of insurance including the policy number, amount, and the provisions that the City of Centerville <br />is included as an additional insured. (please note that insurance requirements depend upon the <br />risk level of the event. Also, if your event can be classified as first amendment expressive <br />activity, insurance requirements can be waived under certain circumstances.) <br /> <br />6. SANITATION: *The Lions will provide trash and recycling bins for use, and remove after. <br /> <br />Attach your "Plan for c1ean-uplMaterial Preservation". Include number, type and location of trash containers to be <br />provided for the event. Indicate who and how man will be responsible for emptying and cleaning up around <br />containers dwing the event. Indicate who and how many will be responsible for cleaning up after animals if they are <br />present during the event. Indicate who and how many will be responsible for cleaning up after the event Descnbe <br />the number, type and location of portable toilets to be provided for the event (or permanent toilets to be used in the <br />event.) Include any other plan you have for ensuring post -event cleanliness and material preservation of city <br />facilities, equipment, premises and streets. A deoosit of 5500 wiD be recraired for ~aa""D anti restontJon. If <br />oremises are left in satisfactory condition. this deDOIit will be refunded in fuU foUowinl! insoectiOD. *Please <br />waive, a letter of good standing can be provided from Mainstreet Bank if needed. Six Porta-Pots will be rented. Lion <br />members will pick-up all left behind articles and trash. <br /> <br />LOCATION: Centerville Lake <br />Please attach a map of your event land design. Check off below items that apply to your event <br />and indicate them on the attached map. Use, where necessary, a "to scale" drawing. <br /> <br />A. _ If a route is involved, the beginning and finish area with arrows. <br />B. _ If a route is involved, the places where buses, autos or other motorized vehicles need to <br />be considered. <br />C. _ If a route is involved, attach separate maps giving two or more alternate routes. <br />D. _ Entertainment or stage locations (grandstand operators should provide you with a <br />"to scale" drawing.) <br />E. _X_Alcoholic beverage concession area. <br />F. _X_ Non-alcoholic concession area. <br />G. _X_ Food concession area. <br />H. General Merchandise concession areas. <br />I. _X_Portable toilet facilities (indicate number). <br /> <br />Page 2 of 10 <br /> <br />JL <br />