Fillable CITY OF PLATTSBURGH CIRCUS/CARNIVAL EVENT APPLICATION (City of Plattsburgh)

Fill Online, Printable, Fillable, Blank CITY OF PLATTSBURGH CIRCUS/CARNIVAL EVENT APPLICATION (City of Plattsburgh) Form

Use Fill to complete blank online CITY OF PLATTSBURGH (NY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CITY OF PLATTSBURGH CIRCUS/CARNIVAL EVENT APPLICATION (City of Plattsburgh)

On average this form takes 3 minutes to complete

The CITY OF PLATTSBURGH CIRCUS/CARNIVAL EVENT APPLICATION (City of Plattsburgh) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Plattsburgh

BROWSE CITY OF PLATTSBURGH (NY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Approvals:
Insurance (Y/N)____________ Police (Y/N)_______________ Clerk (Y/N) _________________
08/20
CITY OF PLATTSBURGH
CIRCUS/CARNIVAL EVENT APPLICATION
Date: _________________________
Applicant Name: _______________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
Phone Number: _______________________________________________________________________________________________________________
License Fee(s)
Carnival: $120.00/day
Circus: $375.00/day
Certification of Insurance Required:
• Furnish on ACORD form 25 or comparable
• City of Plattsburgh named as additional insured
• Thirty (30) day written cancellation notice
• General Liability - Premises/Operations
• BI/PD $1,000,000 CSL $2,000,000 Aggregate
• Worker’s Compensation and Disability
Proposed Event Date:
Date: ________________________
Location: _______________________________________________________________________________________________________________________
Description: ____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
If Applicable:
Number of Applicants: ______________________
Rides: __________________________________________
Games: _________________________________________
*You may be subject to Approvals/Licenses/Inspections by New York State, as well as Clinton County Health Department.
For animals, current health and inoculation certificates may be available.*
Re: Section 154, Code of City of Plattsburgh penalty for violation of code requirements; Fine up to $250 and/or 15
days imprisonment each day of violation constitutes separate offense.
________________________________________________________________
Applicant Signature
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CITY OF PLATTSBURGH CIRCUSCARNIVAL EVENT APPLICATION (City of Plattsburgh)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document