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<br />Attach a copy of your fire department permit(s) to this application if you will use parade floats; <br />an open flame; fireworks or pyrotechnics; vehicle fuel; cooking facilities; enclosures (and tables <br />within those closures); tents, air supported structures, canopies, or fabric shelters. <br /> <br />Give the name, address and phone numbers of the agency or agencies which will provide first aid <br />staff and equipment if required. Attach additional sheets if necessary. <br /> <br />Name of agency: Centennial Lake Police and Fire Departments. <br />Name of Representative: Previous years, Sergeant Pat Aldrich <br />Address: 200 Civic Heights Circle Circle Pines, MN 55014 <br />Day phone: _763-784-2501 Evening phone: <br /> <br />Indicate medical services (if required) that will be provided for this event: <br /> <br />Ambulances: <br />Nurses: <br /> <br />Doctors: <br />Paramedics: <br /> <br />10. VENDORS OR CONCESSIONAIRES: <br /> <br />Describe what vendors/concessionaires you will allow in conjunction with the event, and the <br />purpose of these concessions: All concessions will be run by the Centerville Lions, to help raise <br />funds to pay for Festival events not covered by the City of Centerville. <br /> <br />Describe how you intend to regulate, monitor and control the type, number and quality of <br />vendors/concessionaires whom you may permit to operate in conjunction with the event: N/ A <br /> <br />11. CITY SERVICESIEQUIPMENT: <br /> <br />Describe city services and/or equipment requested for this event: City barricades, cones, signs, <br />picnic tables and other equipment which may be borrowed on an as-available basis. You should <br />make advance arrangements to pick up and return this equipment. If you or any volunteers <br />cannot pick up and return this equipment, please attach a letter requesting these services and <br />explaining why your organization cannot perform them. This will be reviewed, then approved or <br />denied by the public works foreman. <br />Street barricades. cones and all LaMotte Park facilities. <br /> <br />12. OTHER PERTINENT INFORMATION: <br /> <br />Please list below any other miscellaneous information you feel would be important and have a <br />bearing on the approval of this Special Event Permit request: A earlier end time for dance music <br />and concessions would lessen the time the Centerville Lions Club have in recouping events <br /> <br />Page 5 of 10 <br />