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<br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: _02-11-2006 Alternate date: 02-12-2006 <br />Requested hours of operation: _llam (a.m.lp.m.) To: _3pm (a.mJp.m.) <br />Set up beginning date and time: 02-10-2006. 8am <br />Complete dismantle date and time: 02-13-2oo6.5pm <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 form for participants and/or spectators. <br />Anticipated number of participants: _300 to 1,500_ Spectators: _Very few <br /> <br />5. INSURANCE: *TJ Adams Group Ins. is provided. City of Centerville, Anoka County Sheriff. <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, if your event can be classified as first <br />amendment expressive activity, insurance requirements can be waived under certain circumstances.) <br /> <br />6. SANITATION: *The Lions will provide trash and recycling bins for use, and remove after. <br /> <br />Attach your "Plan for clean-uplMaterial 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 around <br />containers 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 evenL 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) Include any other plan you have for ensuring post-event cleanliness and material preservation of city <br />facilities, equipment, premises and streets. A deposit of $SOO will be required for clean-up and restoration. If <br />premises are left in satisfactory condition. this deposit will be refunded in full foUowim! insoection. *Please <br />waive, see attached good standing letter from Mainstreet Bank. Four Porta-Pots will be rented. Lion members will <br />pick-up all left behind articles and trash, along with Centerville and Lino Lakes Boy Scouts. <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 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 />-----ge-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. _X_ Non-alcoholic concession area. <br />G. _X_ Food concession area. <br />H. General Merchandise concession areas. <br />I. _X_ Portable toilet facilities (indicate number). <br /> <br />Page 2 of 10 <br /> <br />,Ii <br />