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<br />Apr 24 09 08:29a <br /> <br />Catherine Branch <br /> <br />703-323-4964 <br /> <br />p.2 <br /> <br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: AvG ~) ~ "J Altematedate: l(;ooCqt- <br />Requested hours of operation: b: 30 (a.m.".....) To: /0: 30 (a.m.,tp,m.) <br />Set up beginning date and time: AvG. ~,}gel" I1:JC.f>>, <br />Complete dismantle date and time: /11>& f, ".,. 1 I'" i Ja /Irl1 <br />Desaibe the number and type of animals (ifany) to be used in tbis event: N~ <br /> <br />Attach a draft of the entry fann for participants and/or spectators. <br />Anticipated number of participants: ('? 00 Spectators: < 100 <br /> <br />5. INSURANCE: <br /> <br />Attach to this appLication either an insurance po6ey or a oenificate of insuraooc including the policy number, <br />amount, and the provisions that the City of Cenrerville is included as an additional insured. (Please note that <br />insurance requirements depend upon the risk level of the evenL Also, if your event can be classified as fll'St <br />amendment expressive activity, insurance re'l"iremeots can be waived unde< certain circumstances.) <br /> <br />6. SANITATION: <br /> <br />Attacb your "Plan for clean-uplMaterial Preservation". Include nwnbcT, type and location o[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 fur cleaning up oller 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 />evenL) tncLude any other plan you have for ensuring post-event cleanlines> and material preservation of city <br />facilities, equipment, premises and streets. A den,,"it of SSOO will be reouired for c1ean-.D aDd restoration. Ir <br />Dl'eIIIlses are left i. satisfactorv condition. this deoosit wm be rerunded in fun followint!. insnection.. <br /> <br />7. 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. <br /> <br />A. V If a route is involved, the beginning and finish area with arrows. <br />B. ,/ If a route is involved, the places wbere 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 altemate routes. <br />D. _ Entertainment or stage locations (grandstand operators sbould provide you with a <br />"to scale" drawing.) <br />E. _ Alcoholic beverage concession area. <br />F. _ Non-alcoholic concession area. <br />G. v' Food concession area. <br />H. General Merchandise concession areas. <br />I. V Portable toilet facilities (indicate number). <br />J. -V Event participant and/or spectator parking areas. <br />K. ~ Event organizer's command post <br /> <br />Page 2 of 10 <br />