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<br />4. REQUESTED EVENT COtvIPONENTS: <br /> <br />Date requested: <br />Requested hours of operation: <br />Set up beginning date and time: <br />Complete dismantle date and time: <br />Descnbe the number and type of animals (if any) to be used in this event: <br /> <br />Alternate date: <br />(a.rn.1 p.rn.) To: <br /> <br />(a.m.! p.rn.) <br /> <br />Attach a draft of the entry form for participants and/or spectators. <br />Anticipated number of participants: Spectators: <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 Centerville is included as an additional insured. (please note that <br />insurance requirements depend upon the risk level of the event. Also, ifyoor 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-up/Material Preservation". Include number, type and location of trash containers to be <br />provided for the event. Indicate who and how num will be responsible for emptying and cleaning up around <br />"""tainers 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 fur ensuring post-event cleanliness and material preservation of city <br />fucilities, equipment, premises and streets. A deposit of $SOO will be required lor clean-up ad restoration. If <br />preJPises are left In sa~etorv condjtlon. this. del"!!!t will be relu!ld~ In full !oU~ insoectlcm., <br /> <br />7. LOCATION: <br /> <br />Please attach a map ofyout event land design. Check off below items that apply to YOut 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. _ Portable toilet facilities (indicate number). <br />