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Name of Representative: <br />Address: <br />Day phone: Evening phone: <br />Indicate medical services (if required) that will be provided for this event: <br />Ambulances: Doctors: <br />Nurses: Paramedics: <br />9. VENDORS OR CONCESSIONAIRES: <br />Describe what vendors/concessionaires you will allow in conjunction with the event, and the <br />purpose of these concessions: N/A <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: N/A <br />10. CITY SERVICES/EQUIPMENT: <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 />make 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 />Parkins Cones <br />11. OTHER PERTINENT INFORMATION: <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: <br />12. FEE STRUCTURE / EVENT CHARGES: <br />If there is a fee or donation required as a condition of attendance or participation of this event, <br />please describe the amounts to be collected from various categories of participants or spectators: <br />Free Event. Donation from the Lions Club back to the Communitv. <br />Page 5 of 10 <br />