Application for a Special Event License

2. Date of Application*
   Date of Application

   Please select today's date.

3. Date of Event*
   Date of Event

   What will your event take place, and at what time.

4. Time of Event*
   Time of Event Start Time

   —

   Time of Event End Time

   When will your event begin and end.

6. Event Title or Type*

7. Cost of Admission*
   -- Select One --Free$1-5$6-15$16-25$26-$50$50+

9. Location of Event*

11. Organization Name*

12. Non-Profit*

    1. Yes
    2. No

14. Will alcohol be served?*

    1. Yes
    2. No

15. If available, please upload County liquor license.

17. Will food be prepared on premises?*

    1. Yes
    2. No

18. If available, please upload County Health Department approval.

20. Expected attendance:*

21. Venue seating capacity:

23. Is parking available?*

    1. Yes
    2. No

24. If there is parking, how much?

26. Are you requesting the use of city trash cans?*

    1. Yes
    2. No

27. Will tents be erected?*

    1. Yes
    2. No

29. Is the event on City, State or Private Property?*

    1. City
    2. State
    3. Private

30. If private, name owner.

32. Is staging or a platform required?*

    1. Yes
    2. No

33. Will there be amplified music?*

    1. Yes
    2. No

34. What types of musical instruments?

36. Is a street closure being requested*

    1. Yes
    2. No

37. If a street closure is requested, what time will it begin and end (please consider set-up and tear-down time.)
    If a street closure is requested, what time will it begin and end (please consider set-up and tear-down time.) Start Time

    —

    If a street closure is requested, what time will it begin and end (please consider set-up and tear-down time.) End Time

39. Is Water Available at the event?*

    1. Yes
    2. No

40. If water is available, please describe the source.

42. Contact Person

43. Email Address

45. Address

47. City

48. State

49. Zip Code

51. Cell Phone Number

52. Office Phone Number

54. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
56. Electronic Signature

58. Please complete the following section for a road race, walk-a-thon, etc...

60. Will this require use of roads?

    1. Yes
    2. No

61. Will this require use of sidewalks?

    1. Yes
    2. No

63. Will residents on the route be notified?

    1. Yes
    2. No

64. Will temporary signs be posted?

    1. Yes
    2. No

    Temporary signs must be removed the following business day. No paint is allowed on streets or sidewalks.

66. Please describe the specific route.

Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit Submit and Print

* indicates a required field