2023

SPECIAL EVENT PERMIT APPLICATION

IMPORTANT INFORMATION

• Applications must be submitted at least 30 days prior to the event and no more than 180 days before.
• A permit is not valid until approved and executed by the Chief of Police or designee.
• Approval is subject to review by all affected City Departments.

APPLICANT INFORMATION

I am a

Applicant Name: ___ Phone: ___ Email: ___

Address:

Event Organizer: Street City State Zip

Phone: Email:

Person responsible for event charges:

Phone Number: ___ Email: ___

EVENT INFORMATION

Name of Event: ___

Description / Type of Event:

___

二氧化碳

Sponsoring Organization / Person: ___

Head of Organization:

Federal Tax ID #: ___

Address:

Street City State Zip EVENT DETAILS

Event Location: ___

Event Date(s):

Estimated Daily Attendance:

Shall not extend a period of 3 consecutive days, any break shall require the issuance of a separate special event permit.

Set-Up Start Time: ___ □ AM □ PM

Breakdown End Time: ___ □ AM □ PM

Event Start Time: ___ □ AM □ PM Breakdown End Time: ___ □ AM □ PM

Event End Time: ___ ☐ AM ☐ PM