HomeMy WebLinkAbout2019-06-26 CC Packet
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Please read information on applying for Special Event Permit before completing this application. Please be
mindful that fees may be associated with your request. Answer all questions . Write N/A (Not
Applicable) where appropriate.
Centerville Lions ClubGreg Kieselhorst
Sponsoring Organization Name of Applicant or Contact Person
7155 Brian Drive651-325-6408
Address (Street, City, State, Zip) Phone Number
gkieselhorst@q.com
gkieselhorst@q.com
Email Address: _________________________
Type of Event:
Run/Walk Planned Demonstration Fundraiser
Block Party Ceremony Celebration
Parade Concert Other
Street Fair
July 16-21, 2019250+fetedeslacs.org/event
Event Hours
Date of Event Anticipated Attendance
2019 Fete des Lacs
Name or Title of Event:
Location and Description of Event: (List any City parks, streets, trails or facilities to be used and/or blocked-off during the event)
Hidden Spring Park, CV Elementary, Trail Side Park, St. Gen's and LaMotte Park
________________________________________________________________________________________
http://fetedeslacs.org/event-schedule/
________________________________________________________________________________________
No permanent markings of route allowed on any streets, sidewalks, or trails in the City of Centerville.
1) Are police officers needed to provide services at the event (traffic control, security, barricading streets,
and use of equipment, etc.) Yes ___ No ____
0
a. Police Security ____
Police Traffic Control ____
0
Barricades ____
0
Cones ____
Barricades ____ 0
Picnic Tables (@ Parks Only) ____
0
2) A map or diagram of the event must be provided. Looking for routes/direction of travel, locations of
restrooms, serving areas (food and alcohol), stages, fencing and barricades.
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3) If alcohol is being served, copy of current on-sale liquor license must be provided.
. The following
events include parades and/or other mobile events utilizing City of Centerville streets, events open to the public
with a large number of attendees, City staff, or any other events deemed necessary by the City of Centerville.
As a condition of the permit the applicant shall:
Listing the City as the Certificate Holder does not mean the City is an additional insured. It
must state in the description box the City (or if listed as Certificate Holder) is an additional insured.
Insurance and listing the City of Centerville as an additional insured.
necessary and adequate under the circumstances.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is insurance required (as determined by City staff): _________ Yes ___________No
6-18-2019
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Department Dept. Initial Review/Approval
City Council: _______ Yes No N/A
Public Works: _______ Yes No N/A
Centennial Lakes Police Department: _______ Yes No N/A
Centennial Fire District: _______ Yes No N/A
Parks and Recreation Committee: _______ Yes No N/A
Are fees associated with this request? Yes No N/A
Park Use Permit $25.00 + Deposit
Park Use $100.00 Minimum Deposit
Field prep., Trash pickup, lighting, concession facility, police and fire service, will be determined by the
CityÓs Public Works Director.
Have fees been paid? Yes No N/A
______________________________
Payment Method
Requesting Party Notified? Yes No N/A
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Generally.
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Permit extensions.
Delay penalty
Permit display.
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Permit issuance.
Conditions
Small wireless facility conditions
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Small wireless facility agreement
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Excavation permit fee.
Obstruction permit fee
Payment of permit fees.
Nonrefundable
Application to franchises
Establishment
Small wireless facility permit fee
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Right to cureÏSmall wireless facilities
Procedural requirements
Locations.
Corridors.
Limitation of space.
Collocation of small cell wireless facilities
Deadline for action
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Consolidated applications
Tolling of deadline
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