Laserfiche WebLink
<br />,~, <br /> <br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: ~ /7, aoo ~ Alternate date: ~x< <br />Requestedhoursofope tion:' /lJo/Vm (a.m.lp.m.) To: &~ <br />Set up beginning date and time: 12~ -LIe.. <br />Complete dismantle date and time: a.u~ I &> <br />Describe the number and type of animals (if any) tlS be used m thIS event: <br /> <br />(a.m.lp.m.) <br /> <br />Attach a draft of the entry form for participants and/or spectators. Nj /J <br />Anticipated number of participants: Spectators: <br /> <br />5. INSURANCE: ~~~ ..sf &lj,;,t..Q <br /> <br /> <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 Centerville 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: <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 will 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 deposit of $500 will be reauired for clean-up and restoration. If <br />premises are left in satisfactory condition. this deposit will be refunded in full followine inspection. <br /> <br />7. LOCATION: <br /> <br />Please attach a map of your event land design. Check offbelow 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. ~ Alcoholic beverage concession area. <br />F. ~ Non-alcoholic concession area. <br />G. ~ Food concession area. <br />H. ,.... General Merchandise concession areas. <br />I. 1/ Portable toilet facilities (indicate number). <br />J. ~ Event participant and/or spectator parking areas. <br />K. _ Event organizer's command post. <br /> <br />Page 2 of 10 <br /> <br />,22& <br />