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<br />4. <br /> <br />REQUESTED EVENT COMPONENTS: <br /> <br />e <br /> <br />Date requested: _03-22-2008 Alternate date: 03-23-2008 <br />Requested hours of operation: _llam (a.m./p.m.) To: _12pm (a.m./p.m.) <br />Set up beginning date and time: 03-22-2008. 8am <br />Complete dismantle date and time: 03-22-2008. 3nm <br />Describe the number and type of animals (if any) to be used in this event: N/ A <br /> <br />Attach a draft of the entry form for participants and/or spectators. <br />Anticipated number of participants: 500 to 1,000 Spectators: 500 <br /> <br />5. INSURANCE: *City of Centerville add-on through HRH has been completed and is provided for <br /> <br />reVIew. <br />Attach to this application either an insurance policy. or a certificate of insurance including the policy number, <br />amount, and the provisions that the City of CentervilIe is included as an additional insured. (Please note that <br />insurance requirements depend upon the risk level of the event. Also, if your event can be classified as first <br />amendment expressive activity, insurance requirements can be waived under certain circumstances.) <br /> <br />6. SANITATION: *Current trash bins in Park should be adequate for this short event. Lions will <br />provide a few more as insurance. <br /> <br />Attach your "Plan for clean-uplMaterial Preservation". Include number, type and location of trash containers to be <br />provided for the event. Indicate who and how man wilI be responsible for emptying and cleaning up around _ <br />containers during 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. Describe <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 $500 will be reauired for clean-un and restoration. If <br />nremises are left in satisfactory condition. this deoosit will be refunded in full followinl! Insnectlon. .Please <br />waive, please refer to the previous good standing letter from Mainstreet Bank from the Ice Fishing Contest just <br />completed in February. Lion members wilI pick-up all left behind articles and trash. <br /> <br />LOCATION: <br /> <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. NA. please <br />seeU. <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. _ Alcoholic beverage concession area. <br />F. Non-alcoholic concession area. <br /> <br />e <br /> <br />Page 2 of 10 <br />