Permit Application For Block Party Form
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1PERMIT APPLICATION FOR BLOCK PARTY
Date _____________________________
Phone No. ________________________
Name ___________________________________
Address _________________________________
Fairfield, Ohio 45014
1.
Description of area to be utilized _____________________________________________
________________________________________________________________________
2.
Date of Party:
_____________________________, 20 _____.
3.
Alternate Dates:
_____________________________, 20 _____.
_____________________________, 20 _____.
4.
Time: From: _______________ Until: 11:00 p.m.
Approved by _____________________________________
For City Use Only:
1.
Delivery date for barricades _________________________________________________
2.
Pick up date for barricades __________________________________________________
3.
Condition of barricades
4.
Condition of public right-of-way
_____________________________________________
5.
Comments: ______________________________________________________________
________________________________________________________________________
Fire, Police, and Streets have been notified: _______
cc:
Donald G. Bennett, Fire Chief
Mike Dickey, Police Chief
Dain McCune, Street Division Superintendent
Wes Marcum, Traffic Crew Foreman
Revised 6/00
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Parent category: Business