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<br />. <br /> <br />Ceoterville <br />Special Event Permit Application <br /> <br />1. TITLE, PURPOSE, AND BRIEF DESCRIPTION OF EVENT: <br /> <br />New Application: <br /> <br />Renewal of or Change in Application: <br /> <br />CONTACT PERSON: <br />TELEPHONE: <br /> <br />OR <br /> <br />2. IDENTIFYING INFORMATION: <br /> <br />Attach a written communication from the organization(s) in whose name the event will he advertised which <br />authorizes you, the applicant, to apply fur this special event permit on its/their behalf. <br /> <br />Applicant's Name: <br />Address: <br />Mailing Address: <br />Affiliation: <br />Day Phone: <br />Emergency Phone: <br /> <br />Title: <br /> <br />Evening Phone: <br /> <br />3. EVENT PRINCIPALS: <br /> <br />Following, please list the names, addresses and telephone numbers of all the principals involved in any in the <br />proposed special event. Include professional event organizers, event promoters, financial underwriters, commercial <br />sponsors, charitable agencies for whose benefit the event is being produced, the organization(s) in whose name the <br />event is being advertised, and all others administratively, financially and organizationally involved as principals in <br />the production of the proposed special event Make additional copies of the following as needed to include as of the <br />principals involved in the proposed special event. <br /> <br />Name: <br />OrganizationIBusinessl Agency/Affiliation: <br /> <br />Is this a non-profit organization? <br /> <br />Yes <br /> <br />No <br /> <br />If you are making application under non-profit status, proof of non-Profit status must he attached to this apolicatiOll <br /> <br />Mailing Address: <br />Day Phone: Evening Phone: <br />Title and functional responsibility with regard to the event: <br />