Fill - Free fillable Application for Block Party (City of Murrieta) PDF form

Page 1 of 5 Rev. 6/21/2018

Application for Block Party

For Planning Office Use Only

Case Number: Date Submitted: Received by:

EVENT INFORMATION

EVENT DESCRIPTION

EVENT DATE

TIME(FROM/TO)

Lowest residence address:

Highest residence address:

EVENT ORGANIZER INFORMATION

Name: E-Mail:

Mailing Address:

Street

City State ZIP

Daytime Phone No: ( ) Fax No.: ( )

CITY OF MURRIETA

Planning Department

1 Town Square

Murrieta, CA 92562

Page 2 of 5 Rev. 6/21/2018

BLOCK PARTY PERMIT

SUBMITTAL REQUIREMENTS

A Block Party Permit is required for certain projects that because of their nature or operation

may affect neighboring properties. In order to ensure compatibility with neighboring

properties, the Planning Department will review such items as traffic, relationship with

surrounding properties, and the operation of the use. The Planning Department may require

certain conditions that ensure that the proposed use will not cause an adverse impact to the

neighborhood.

THE BLOCK PARTY FILING PACKAGE MUST CONSIST OF THE FOLLOWING:

1. Application form with owner and applicant’s signature (attached)

2. $85.00 non refundable application fee

3. Petition in favor of block party (see attachment)

4. Copy of invitation or flyer being used for this event

5. Copy of signed Hold Harmless and Cancellation Agreement

6. Copy of completed “Notice of Temporary Street Closure for Block Party”

* indicate streets to be closed and type of equipment used to close streets

* indicate location of road closure signs to be posted

* indicate location of all activities (jolly jump, music, BBQ, games, etc)

* indicate location of fire extinguishers

7. 5 sets of site plans showing all affected properties (no larger than 11 x 17)

Page 3 of 5 Rev. 6/21/2018

BLOCK PARTY/ NEIGHBORHOOD EVENT

PETITION FOR TEMPORARY STREET CLOSURE

In applying for permission to use City property under the provisions of Murrieta Municipal Code

section 12.12.020 (City policy on Special Events) the permit if approved, will be subject to MMC

12.12.020, and the following condition:

MMC 12.12.020 (g) – That in the case of a block party or other similar neighborhood

event, the applicants have submitted a petition in favor of the event which has been

signed by sixty (60%) percent or more of the residents of the block affected by the permit.

The applicant shall attach a copy of the “Special Event Permit Application” to this petition for

inspection and review and list the lowest residence address and highest residence address

affected by the event.

Signatures and addresses will be cross-checked, with the completed map, by the Police

Department before final approval. If any affected residents have not signed this petition,

indicate the address and reasons below (i.e.: on vacation, unable to contact, disapproves of

street closure, etc.). Add additional sheets if necessary.

___________________________________ _______________________________________

LOWEST residence address HIGHEST residence address

By signature of this petition for Temporary Street Closure, the undersigned hereby agrees to

defend, indemnify and hold harmless the City of Murrieta, its officers, employees and agents

from any and all losses, damages, claims for damages, liability, expense or cost arising from any

accident or occurrence causing any injury or damage to any person or property arising out of or

attributed to the closure of the above-noted street or the authorization therefore.

Address (number and street name) Name (print) Name (signature)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Page 4 of 5 Rev. 6/21/2018

NOTICE OF TEMPORARY STREET CLOSURE FOR BLOCK PARTY

This Document serves as proof of notice of the proposed street closure;

it may be reproduced as needed

Notice to Occupant:

The City of Murrieta requires that all affected residents/businesses both on and adjacent to a

proposed street closure be notified of such a street closure. A temporary street closure has

been requested for the listed streets on the following date(s) & time(s).

Date(s):_________________________ Time(s) :from_______________ to________________

Street(s):______________________________________________________________________

______________________________________________________________________________

Name of event: _________________________________________________________________

Purpose of the proposed street closure:

______________________________________________________________________________

Dated:____________________

Event Committee/Organizer: ______________________________________________________

Contact Name: _________________________________________________________________

Address: ______________________________________________________________________

City: _________________________________________ State: ________ Zip: ______________

Phone:________________________________________________________________________

Page 5 of 5 Rev. 6/21/2018

Hold Harmless & Cancellation Agreement

 If the event is cancelled, notice must be given to the city, seven days prior to event

cancellation in writing.

 Applicant agrees that any false statement or material misrepresentation made in support of

this application and permit is cause for denial of issuance of a Special Event Permit.

Applicant also agrees that failure to adhere to the policies and procedures established by

the City of Murrieta or any conditions or restrictions imposed upon the permit by any City

Department is cause for revocation of the Special Event Permit. Applicant further agrees

the permit may be revoked at any time by a City Representative.

 By signing below, the special permit applicant accepts all financial responsibility for the

special event indicated within the application and is acting as the representative for the

organization listed within the application.

 In consideration of the granting of this application and permit for special event for

_________________________________(name of event) on ___________________(date)

the _____________________________________(name of organization) shall protect,

defend, indemnify and hold the City of Murrieta, its officers, employees and agents

(collectively, “City”) harmless from any and all losses, damages, claims for damages, liability,

suits, judgments, expense or cost arising from any injury or death to any person or damage

to any property including all reasonable costs for investigation and defense thereof

(including, but not limited to, attorney fees, court costs and expert fees) of any nature

whatsoever arising out of or attributed to issuance of the Special Event Permit herein

identified or the authorization thereof regardless of where the injury, death, or damage

may occur, unless such injury, death or damage is caused by the sole negligence or willful

misconduct of the City.

____________________________ ___________________________ _________________

Name Signature Date

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