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<br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: {-t! & / O'l Alternate date: ~ <br />Requested hours of operation: d"" (I;jb.lp.m.) To: ;.l VII ~(a.m.l~.) <br />Set up beginning date and time: . hr ~ n S~ _ _' rl _ <br />Complete dismantle date and time: kr Fl""'l<tf ..., <br />Describe the number and type of animals (if any) to be used in this event: AlI1:-- <br /> <br />Attach a draft of the entry form for participants and/or spectators. )/(+ <br />Anticipated number of participants: IS'"-"'" Spectators: 'r--U <br /> <br />5. INSURANCE: <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 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 classifiedss first <br />amendment expressive activity, insurance requirements can be waived under certsln circumatances.) <br /> <br />6. <br /> <br />SANITATION: <br /> <br />.,f-- ~ ~+# <br /> <br />Attach your "Plan for clean-up/Material 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 aronnd <br />containers during the event. Indicate who and how many will be responsible for cleaning up after anitnals 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 dcnoslt of $500 will be reQuired for clean-no and restoration. If <br />nremls.. ore left In satisfactory condition. tbls denosit wUl be refunded 10 full followin.. insnectlon. <br /> <br />7. <br /> <br />LOCATION: Sf AS ~ -k-- <br /> <br />Please attach a ma~our 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. vA- 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 a1temate 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. V'Portable toilet facilities (indicate number). - ~ 14 ~ <br />J. ~Eventparticipantand/orspectatorparkingareas. ~ f~- e.rr <br />K. .JJA. Event organizer's command post. <br /> <br />Page 1 of 10 <br />