2010-04-14 CC Packet - Laserfiche WebLink

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4. REQUESTED EVENT COMPONENTS: Date requested: 6 "S - Z01 0 Alternate date: Requested hours of operation: /0-" (aa Vp.m.) To: 2 w (a.m. /p=?) Set up beginning date and time: G -F — Z.o to Complete dismantle date and time: L - S - za 1 n Describe the number and type of animals (if any) to be used in this event: Attach a draft of the entry form for participants and/or spectators. NA- Anticipated number of participants: pS Spectators: 5. INSURANCE: Attach to this application either an insurance policy or a certificate of insurance including the policy number, amount, and the provisions that the City of Centerville is included as an additional insured. (Please note that insurance requirements depend upon the risk level of the event. Also, if your event can be classified as first amendment expressive activity, insurance requirements can be waived under certain circumstances.) 6. SANITATION: ,V S"_ 4f Attach your "Plan for clean- up/Material Preservation ". Include number, type and location of trash containers to be provided for the event. Indicate who and how man will be responsible for emptying and cleaning up around containers during the event. Indicate who and how many will be responsible for cleaning up after animals if they are present during the event. Indicate who and how many will be responsible for cleaning up after the event. Describe the number, type and location of portable toilets to be provided for the event (or permanent toilets to be used in the event.) Include any other plan you have for ensuring post -event cleanliness and material preservation of city facilities, equipment, premises and streets A deposit of $500 will be req uired for clean -un and restoration. If premises are left in satisf condition. this deposit wiUl refunded in full fgllowing inspection. 7. LOCATION: Please attach a map of your event land design. Check off below items that apply to your event and indicate them on the attached map. Use, where necessary, a "to scale" drawing. A. Nk If a route is involved, the beginning and finish area with arrows. B. If a route is involved, the places where buses, autos or other motorized vehicles need to be considered. C. If a route is involved, attach separate maps giving two or more alternate routes. D. Entertainment or stage locations (grandstand operators should provide you with a "to scale" drawing.) E. Alcoholic beverage concession area. F. Non - alcoholic concession area. G. Food concession area. H. V General Merchandise concession areas. I. ✓ Portable toilet facilities (indicate number). -- $ J. ✓ Event participant and/or spectator parking areas. ��t'^'� K. jL/h- Event organizer's command post. Page 2 of 10 21