Facility Use Application Form

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City of Myrtle Beach
South Carolina
FACILITY USE APPLICATION
APPLICANT NAME: ________________________ PHONE: ________________________
(Residence)
ADDRESS: _________________________________ PHONE: ________________________
(Business)
CITY________________________________________________________________________
STATE_____________________________________________________ZIP______________
EMAIL ADDRESS:____________________________________________________________
ORGANIZATION: ____________________________________________________________
ADDRESS: __________________________CITY______________STATE______ZIP _____
FACILITY TO BE USED: ______________________________________________________
BEGINNING DATE: ________ TIME: _____ ENDING DATE: _______ TIME: _____
DETAILED DESCRIPTION OF ACTIVITY:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
 THE SALE OR DISTRIBUTION OF ALCOHOLIC BEVERAGES IS STRICTLY PROHIBITED,
UNLESS APPROVED BY THE DIRECTOR OF THE CULTURAL AND LEISURE SERVICES
DEPARTMENT.
 VEHICLES ARE NOT PERMITTED TO STOP, STAND OR PARK EXCEPT IN DESIGNATED
PARKING, LOADING OR UNLOADING
ZONES, EXCEPT WITH THE SPECIFIC WRITTEN
PERMISSION OF THE POLICE DEPARTMENT (TO BE ATTACHED TO THIS
DOCUMENT).
THE CITY RESERVES THE RIGHT TO APPROVE OR DISAPPROVE THE TYPE, NUMBER AND
PLACEMENT OF ALL STRUCTURES, INCLUDING BUT NOT LIMITED TO TENTS, BOOTHS,
DISPLAYS AND COOKING APPARATUS.
IT IS AGREED AND UNDERSTOOD THAT PERMITTEE IS SOLELY RESPONSIBLE FOR THE
CONDITION AND CLEANLINESS OF FACILITY USED DURING THE TERM OF THIS PERMIT
AND AGREES TO RETURN SAID PROPERTY IN THE SAME CONDITION AS FOUND,
REASONABLE WEAR AND TEAR EXCEPTED.
PERMITTEE AGREES TO ARRANGE FOR AND ASSUME THE COST OF PROVIDING SECURITY
AND CROWD CONTROL WHEN SUCH IS DEEMED NECESSARY BY THE CITY.
PERMITTEE AGREES TO CONDUCT ALL ACTIVITIES IN COMPLIANCE WITH THE LAWS OF
THE STATE OF SOUTH CAROLINA AND ALL APPLICABLE CITY ORDINANCES.
PERMITTEE AGEES TO PURCHASE AND MAINTAIN IN FORCE FOR THE FULL TERM OF THIS
PERMIT A GENERAL LIABILITY POLICY MEETING THE FOLLOWING CRITERIA.
1) Coverage shall be written on an occurrence basis and provide Premises/Operations: Independent
Contractors: Products/Completed Operations: Contractual and Broad Form Property Damage.

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