APPLICATION FOR A SPECIAL EVENT PERMIT UNDER SEC. 7-20-1
Application Fee: $50.00 Base Permit Fee: $100.00 Each Additional Event Fee: $10.00 per event/$300.00
maximim per permit year
APPLICATION MUST BE SUBMITTED NOT LESS THAN THIRTY (30) DAYS PRIOR TO THE
(a) Name ________________________________________________________________
(b) Address ______________________________________________________________
City, State & Zip _________________________________________________________
(c) Name, address, phone, birthdate and Social Security No. of manager or person in charge of event:
2. LOCATION OF EVENT(S):
(a) Name and Address of establishment:
(b) Does applicant own the property? ____________. If no, attach a notarized letter of agency authorizing the
applicant to apply for a special event permit.
NOTE: EVENT SHALL BE HELD WITHIN THE AREA ENCOMPASSED BY THE PHYSICAL
DESCRIPTION AND DIAGRAM THAT IS SUBMITTED UNDER SEC. 7-2-6 OF THE
VILLAGE’S CODE OF ORDINANCES AND APPROVED UNDER CHAPTER 2 OF TITLE 7
FOR LIQUOR LICENSES.
3. DATE AND TIME OF EVENT: ______________________________________________________
4. SCHEDULE OF MULTIPLE EVENTS. Attach schedule of events, including dates and times, including
beginning and ending times.
5. SECURITY PLAN. Attach a copy of your security plan for the premises and all events.
6. Applicant agrees to comply with all law, resolution, ordinances and regulations (state, federal or local) affecting
the sale of fermented malt beverages and/or wine coolers and special events in the Village. The Chief of Police
shall have the authority to suspend an event under a permit issued under this section when he or she believes
such live music, loudspeaker or amplifying device has become a nuisance because of the volume, the method in
which it is being used, or the location in which it is being operated. Any such suspension, shall bring the
permit for review, within fifteen (15) days, before the Legislative and Licensing Committee prior to any
additional outdoor events occurring at the establishment. A violation of the governing ordinance or other
Village ordinance related to the use of the area for an event shall constitute sufficient grounds to revoke the
special event permit. Three or more noise complaints filed against the permitee during the permit period, and
verified by the Village Police Department, shall constitute sufficient grounds to revoke the use of an outdoor
special event permit
The Individual signing below or the Officer(s) of the organization signing below, individually and together, declare
under penalties of law that the information provided in this application is true and correct to the best of their
knowledge and belief.
Individual or Name of Organization
Date Filed _________________ Permit No. _______________ Date Issued:___________
App. Fee Paid:_____ Date:_____ Base Permit Fee Paid: _______; Date:_______
# of Additional Events Approved: _____; Additional Events Fees:______; Date:______