CITY OF KANNAPOLIS, NORTH CAROLINA
APPLICATION FOR PARADE PERMIT
Code Section 10-291 et seq
NAME OF APPLICANT:
TELEPHONE (DAY): TELEPHONE (EVENING):
DATE OF PLANNED EVENT FOR WHICH A PERMIT IS NEEDED:
NOTE: Application for a parade permit must be submitted not less than seventy-two (72) hours,
excluding weekends, before the time of the proposed event.
NATURE AND PURPOSE OF PROPOSED ACTIVITY:
KPD-200
Rev 06/02
NAME OF PARADE OR EVENT:
SPONSORING ORGANIZATION:
HEADQUARTERS ADDRESS:
TELEPHONE NUMBER(S):
HEAD OF ORGANIZATION:
CITY, STATE, AND ZIP CODE:
NOTE: If the applicant named below is a person other than the head of the sponsoring
organization, the applicant must attach a letter from the organization head, authorizing the
applicant to apply for a permit in his or her behalf.
APPLICANT'S ADDRESS:
CITY, STATE, AND ZIP CODE:
Except as provided in City Code Section 10-291(b), a permit is required for any parade, march,
ceremony, demonstration, show, exhibition, pageant or procession of any kind in or upon any
street, sidewalk, or other public place owned or under the control of the City of Kannapolis.
APPLICANT INFORMATION
PROPOSED USE OF STREETS OR PUBLIC PROPERTY:
Street Right of Way Only
Street - Single Lane
Street - All Lanes
Other:
Provide the name of the person who will be responsible for the physical conduct of the event and who will
accept responsibility for compliance with any and all terms of the parade permit and applicable city
ordinances. The responsible person must be physically present at the event and carry the permit at all
times.
DESIGNATION OF RESPONSIBLE PERSON:
Public Park
Public Sidewalks
Public Building
Provide the approximate number of persons, animals and vehicles that are expected to participate, including
the kind of animals and the type of vehicles.
RESPONSIBLE PERSON:
MAP OF PROPOSED PARADE ROUTE IS ATTACHED (Required):
Note: The map must show the entire route to be traveled, the starting
point and the ending point, and any streets used for an assembly area.
YES NO
LOCATION OF ASSEMBLY AREA:
Persons
Animals
Vehicles
Kind:
Type:
PROPOSED TIME OF EVENT:
AM PM
END:
AM PM
NOTE: The beginning and ending time must be approved by
the Chief of Police. Such approval will be based on
consideration of information contained in this application,
information from other sources, and upon the issuance
standards specified in Section 10-294 of the City Code.
TIME OF ASSEMBLY:
AM PM
TELEPHONE NUMBER:
BEGIN:
State of North Carolina
CITY OF KANNAPOLIS
AFFIDAVIT
Sworn to and subscribed before me
the _____ day of _____________________, 20_____.
My Commission Expires:
NOTARY PUBLIC
(SEAL)
THE UNDERSIGNED, first being duly sworn, deposes and says:
1. That this affidavit is made pursuant to the provisions of the City of Kannapolis
Ordinance Section 10-292 to induce the Chief of Police to issue a Parade Permit.
2. That the information contained in my application for a parade permit is complete,
true and correct to the best of my information and belief.
3. That I have received a copy of the City ordinance governing parades, and that I
agree to fully comply with any and all provisions therein.
4. That if I am acting on behalf of the head of a sponsoring organization or group, I
have been authorized in writing to apply for a parade permit on behalf of that
organization or group.
5. That the undersigned applicant agrees to release and save the City of Kannapolis
and its officers and employees for any claims, actions, and lawsuits, arising out of the
conduct of the parade, excepting injuries or damages proximately caused by the City of
Kannapolis.
This the
AFFIANT:
Signature
Print or Type Name
day of
, 20
Date:
Notice of Application Denial:
THIS PAGE IS FOR POLICE USE ONLY
Application received on
BY:
Notice of Application Approval
PERMIT APPROVAL
PERMIT DENIAL
SUBMISSION & PROCESSING
COMMENTS / OTHER
AM PM
at
Map of Parade Route & Assembly Area
Affidavit is Properly Executed and Notarized
VERIFICATION OF ATTACHMENTS:
AM PM
at
Date:
AM PM
at
Letter authorizing applicant to act on behalf of sponsoring organization (if applicable)
Basis for Denial:
PARADE PERMIT
CITY OF KANNAPOLIS, NORTH CAROLINA
Permit Issued To:
Permit Number:
Name of Event:
Sponsoring Group:
Responsible Person:
THIS PERMIT IS ISSUED PURSUANT TO SECTION 10-291 OF THE CODE OF
THE CITY OF KANNAPOLIS, AND IS VALID FOR THE FOLLOWING TIME
PERIOD:
FROM
AM PM
UNTIL
AM PM
DATE:
THIS PERMIT IS SUBJECT TO THE FOLLOWING CONDITIONS:
The responsible person designated above must ensure that all
activities comply with the laws of North Carolina and the ordinances
of the City of Kannapolis.
The responsible person designated above must be physically present
at the event for its entire duration and shall carry this permit at all
times.
Street Address:
Telephone No.
OR
City, State & ZIP:
This permit may be revoked by any supervisory officer of the
Kannapolis Police Department upon a determination of
non-compliance by the permit holder of any of the conditions of the
permit or any provision of the City of Kannapolis parade ordinance.
James W. Chavis, Chief of Police
DATE OF ISSUANCE:
AUTHORIZED PERIOD
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