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<br />JAN 09 2004 09:47 FR ARTESYN ENGINEERING 612 392 6740 TO 96514298629 <br /> <br />P.03/16 f <br /> <br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: _02-07-2004 Alternate date: 02-08-2004 <br />Requested hours Qf operation: _llam (a.mJp.m.) To: ~pm (a.m.lp.m.) <br />Set up beginning date and time: 02-06-2004. 12pm <br />Complete dismantle date and time: 02-08-2004. l2am <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 fonn for participnnts and/or spectators. <br />Anticipated number of participants: 50 to 150 Spectators: _Very few <br /> <br />5.. INSURANCE: "Requested City of Centervillel Anoka County add-ons through Adams Group <br /> <br />Ins. <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 thai <br />insurance requiremenlS depend upon Ihe risk level of the evenr. Also, if your evenl can be classified as firsl <br />amendment expressive activity, insurance requirements can be waived under certain circumstances.) <br /> <br />6. SANITATION: *A few Lion members will bring their home trash and recycling bins for use. <br /> <br />Attach your ''Plan for c1ean-upJMaterial Preservation". Include number, type and location of trash containers to be <br />provided for lbe evenl. 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 arc <br />present during the evenl. Indicate who and how many will be responsible for cleaning up after the evenl. Describe <br />the number, typc and location of portable toilets to be provided for the event (or permanenl toilers to be used in the <br />evenl.) Include any other plan you bave for ensuring post-event cleanliness and material preservation of city <br />facilities, equipmen~ premises and streets. A deoosit of $500 will b. rC<tuind ror clean-un and restoration. If <br />Dremises are left in satisfactory condition. this denosit wiD be refunded in foil followinl! insuection. 'Please <br />waive, see amched good standing letter from Mainslreel Bank. One or Two Pon-ta-Pots will be rented. Lion <br />members will pick-up a1llcft 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 n*ssary. 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 altemate 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. .-X_ Non-alcoholic concession area. <br />G. _X_Food concession area. <br />H. General Merchandise concession areas. <br /> <br />Page 2 of 10 <br />