Laserfiche WebLink
<br />Attach a copy of your fire department permit(s) to this application if you will use parade floats; <br />an open flame; fireworks or pyrotechnics; vehicle fuel; cooking facilities; enclosures (and tables <br />within those closures); tents, air supported structures, canopies, or fabric shelters. <br /> <br />Give the name, address and phone numbers of the agency or agencies which will provide first aid <br />staff and equipment if required. Attach additional sheets if necessary. <br /> <br />Name of agency: Centennial Lake Police and Fire Denartments. <br />Name of Representative: Previous years, Sergeant Pat Aldrich <br />Address: 200 Civic Heights Circle Circle Pines, MN 550] 4 <br />Day phone: _763-784-250] Evening phone: <br /> <br />Indicate medical services (if required) that will be provided for this event: <br /> <br />Ambulances: <br />Nurses: <br /> <br />Doctors: <br />Paramedics: <br /> <br />10. VENDORS OR CONCESSIONAlRES: <br /> <br />Describe what vendors/concessionaires you will allow in conjunction with the event, and the <br />purpose of these concessions: All Concessions will be run by the Centerville Lions, to help raise <br />funds to help to pay for the Haunted House. <br /> <br />Describe how you intend to regulate, monitor and control the type, number and quality of <br />vendors/concessionaires whom you may permit to operate in conjunction with the event: Nt A <br /> <br />11. CITY SERVICESIEQUlPMENT: <br /> <br />Describe city services and/or equipment requested for this event: City barricades, cones, signs, <br />picnic tables and other equipment which may be borrowed on an as-available basis. You should <br />makc advance arrangements to pick up and return this equipment. If you or any volunteers <br />cannot pick up and return this equipment, please attach a letter requesting these services and <br />explaining why your organization cannot perform them. This will be reviewed, then approved or <br />denied by the public works foreman. <br />Street barricades/cones and all LaMotte Park facilities. <br /> <br />]2. OTHER PERTINENT INFORMATION: <br /> <br />Please list below any other miscellaneous information you feel would be important and have a <br />bearing on the approval of this Special Event Permit request: As in years past, a Food Drive for <br />the local Food Shelf will be done and fee discounts offered to encourage spectators to do so. <br /> <br />Page 5 of] 0 <br />