Fill - Free fillable Clr Parade Permit Application May 2018 MEMORANDUM (City) PDF form

CITY OF LITTLE ROCK, ARKANSAS

PARADE PERMIT AND APPLICATION

Date Submitted: ______________

Time Submitted: ______________

Office Use Only

Permit No.: ____________

(Submit completed form to: Traffic Engineering Division, 621 S. Broadway, Little Rock AR 72201

or e-mail to: TrafficEngPermits@littlerock.gov)

Application for :

 Parade/Procession

 Motorcade

 Race (Running, Walking, Bicycling, etc.)

 Other:_______________________

Date of Event: _______________ Scheduled Time(s) of Event: ____________________________

Route of Event: ___________________________________________________________________

Street Closures for Event: ___________________________________________________________

________________________________________________________________________________

(Please attach a map showing the route. Indicate the Start/End points and staging area, if any)

CONTACT PERSON DURING THE EVENT:

If the Applicant, or the person listed as authorized to make application on behalf of an organization, will not be

in immediate possession of the Public Assembly Permit at all times during the event, please name the person

who will be in possession of this permit: _______________________________________________________

How will the City contact this person, if necessary, during the event? Please list telephone numbers, email

addresses or other means of contacting this person: ______________________________________________

________________________________________________________________________________________

NOTE: The City recognizes that the name of this person may change between the date of this application and

the date of the Event. The Permit Holder, however, is required to provide this name in writing to the City

Manager no less than three (3) hours prior to the Event. The City Manager’s office is open from 8:00 a.m. to

5:00 p.m. Monday through Friday, except for the following holidays:

New Year’s Day, Dr. Martin Luther King, Jr. Day, Presidents’ Day, Memorial Day, Independence Day (July 4

Labor Day, Veterans Day, Thanksgiving and Christmas.

If the City Manager’s office is closed the day of the event, the Permit Holder is required to provide this

information to the Police Chief’s office, 700 W. Markham, Little Rock, Arkansas (501) 371-4621 no less than

three (3) hours prior to the start of the Event.

I. APPLICANT INFORMATION

The City of Little Rock needs to obtain information about the applicant for the event. The information

requested pertains to the person submitting the application, the organization for which the application is being

made (if one is involved), and a person on the date of the event who will be in charge of the event should any

City official or law enforcement officer need to get in contact with that person. The information will not be used

for any other purpose.

PERSON SUBMITTING THE APPLICATION

NAME: ____________________________________________________

ADDRESS: ____________________________________________________

____________________________________________________

E-Mail: ___________________________________________________

Contact numbers where applicant may be reached:

Telephone:(____) _____________ Cell Phone: (____) _____________ Fax: (____) ____________

ORGANIZATION SUBMITTING APPLICATION

(To be completed only if person listed above is applying on behalf of an organization)

Name of the organization: __________________________________________________

Address of the organization

Headquarters: __________________________________________________

__________________________________________________

Name of the person authorized or responsible for having the application made on behalf of the organization:

__________________________________________

Contact information for the organization if different from that listed for the applicant:

E-Mail Address/Website: ________________________________________________________

Telephone: (____) _________________ Fax: (____) __________________

II. INFORMATION ABOUT THE PARADE

(Please answer with the best estimates available; if similar events have been held in other cities after similar

planning, consider use of that information as a basis for answers to these questions.)

Requested date of the event: _________________________________________________

NOTE: The requested date may not be available if there is a previously scheduled or requested event for the

requested date and the City Manager has determined, in consultation with the Directors of various City

Departments (including emergency services personnel) that the demand on public resources to deal with two

events would have an immediate and adverse impact upon the welfare and safety of persons within the City. If

there is an acceptable alternative date for the applicant that does not suffer the same conflict,

Please list that alternative requested date:____________________________________________________

Scheduled starting time: ___________________ Anticipated ending time: __________________

Please describe the desired route of the parade: ________________________________________________

________________________________________________________________________________________

What is the anticipated interval between parade participants if more than one group is expected to participate?:

________________________________________________________________________________________

Please describe in general terms the type of parade and activities that are planned (For example: A single

group on parade; a parade with various groups including marching bands and organizations; a parade with

floats and vehicles (both motor and animal powered):

______________________________________________________________________________________

If vehicles, motor- or animal-driven are to be used, please list the types and number of vehicles anticipated:

______________________________________________________________________________________

By what method will the permit holder have the vehicles or animals identified as part of the event?:

________________________________________________________________________________________

What is the minimum speed that will be used by such vehicles during the event (when not parked, stopped, or

at rest)?: ________________________________________________________________________________

What is the maximum speed that will be allowed by such vehicles during the event:

_______________________________________________________________________________________

How does the permit holder intend to enforce these speeds?:

_______________________________________________________________________________________

For animals, will they be expected to do more than walk during the event (as opposed to running, or will they

be expected to pull any wagons or other items; if so, please provide detail)?:

_______________________________________________________________________________________

If the planning for the event has included advertisements or announcements of any kind, please check all types

of advertising or announcements that have been made:

_______ In local newspapers or other media

_______ In statewide newspapers or other media

_______ In national newspapers or other media

_______ By handbills or mailed notices

_______ By Internet publication

_______ Other; please briefly describe: _____________________________________________

_____________________________________________________________________

How many people are expected by the applicant to participate in the event?: ___________________________

Please describe how the applicant has arrived at this estimation, e.g., based upon past experience with this

event in this area; based upon responses to advertisements or mailings; based upon past experience with

similar events in other areas: ________________________________________________________________

________________________________________________________________________________________

_______________________________________________________________________________________

If spectators other than persons at the site of the event are anticipated, how many persons are anticipated by

the applicant to be spectators at the event? ______

Please describe how the applicant has arrived at this estimation, e.g., based upon past experience with this

event in this area; based upon responses to advertisements or mailings; based upon past experience with

similar events in other areas: ________________________________________________________________

________________________________________________________________________________________

Does the applicant anticipate the use of signs, sound amplification or recording equipment (including bullhorns

or other portable equipment), banners, signs, or other attention-getting devices designed to draw attention to

the event? _______ Yes _______ No

(If the Applicant checked Yes, please briefly describe the type of equipment or items that are anticipated):

________________________________________________________________________________________

Other than the sidewalk or street that will be the site of the event, list any other public facilities or equipment

that the applicant expects to utilize: ___________________________________________________________

________________________________________________________________________________________

What arrangements have been made to secure the use of such public facilities or equipment (including the

name and contact information for any authorized public official who has given permission for such use)?:

________________________________________________________________________________________

If arrangements have not been made, what steps have been taken to secure the use of such public facilities or

equipment (including identifying the name and contact information for any authorized public official whose

permission will be required), and what date does the applicant anticipate such permission will be granted):

________________________________________________________________________________________

Date permission anticipated: _________________________________________________________

What arrangements have been made to assure that participants or anticipated spectators will have access to

sanitation facilities or other restroom facilities during the hours of the event?

________________________________________________________________________________________

Sales/serving of Alcoholic Beverages at the event:

Will there be sale of alcoholic beverages at the event? _______ Yes _______ No

Will there be serving of alcoholic beverages at the event? _______ Yes _______ No

If Yes to any of the questions above, Has a permit been applied

for or granted by the Alcoholic Beverage Control Board? ________Yes _______ No

Note: **GIVING AWAY FREE ALCOHOL IN A PUBLIC EVENT IS AGAINST THE LAW**

III. CERTIFICATION

By signing this application, i do hereby state under oath that the information contained in this application is true

and correct to the best of my knowledge and belief, as of the date that this application is being submitted.

_________________________________________________

Signature

Printed Name:______________________________________

Date:______________________________________

STATE OF ______________________)

ss)

COUNTY OF ______________________)

Subscribed and sworn to before me this __________ day of ____________, 20____.

_______________________________________________

NOTARY PUBLIC

(NOTE: The City of Little Rock will provide free notary service for Public Assembly Permit applications Monday

through Friday, 8:00 a.m. to 5:00 p.m. in the Office of the City Manager or the Office of the City Clerk, 500

West Markham, Second Floor, or, the Office of the City Attorney, 500 West Markham, Third Floor, except on

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those days when City Hall is closed because of a declared holiday, or for some other reason authorized by the

City Manager.)

IV. VERIFICATION THAT APPLICATION FEE HAS BEEN PAID

I hereby acknowledge receipt of the twenty-five dollar ($25.00) application fee required to process this Public

Assembly Permit Application.

_______________________________________________

Date: __________________________________________

V. DEPARTMENTAL REVIEWS

Department of Public Works:

The Public Works Department has reviewed this application and approved it, provided the following things are

done, or the following items are provided:

________________________________________________________________________________________

Little Rock Police Department:

The Little Rock Police Department has reviewed this application and approved it. The following items will be

provided to assure that the Public Assembly does not interfere with the flow of traffic – vehicular or pedestrian

– or otherwise create a potentially adverse impact upon the safety and welfare of persons or property in the

immediate area of the Public Assembly:

________________________________________________________________________________________

VI. CITY MANAGER APPROVAL

_______ At the direction of the Office of the City Manager, this application has been reviewed and is hereby

approved for the following date: ______________________________________________________________

_______ At the direction of the Office of the City Manager, this application has been reviewed and the

requested date is denied, but an alternative date has been approved. The permit is approved for the following

alternative date: __________________________________________________________________________

The reason that it was necessary to choose an alternative date is: __________________________________

________________________________________________________________________________________

Bruce T. Moore, City Manager

By: _______________________________

Date: _____________________________

Time: _____________________________

City Code Sec. 32-549. - Application.

(1) A person seeking a parade or public assembly permit shall file an application with the city manager on forms

provided by the city and the application shall be signed by the applicant.

(2) For single, nonrecurring parades or public assemblies, an application for a permit shall be filed with the city

manager at least five (5) and not more than one hundred eighty (180) days before the parade or public assembly is

proposed to commence. The city manager may waive the minimum ten-day filing period and accept an application filed

within a shorter period if, after due consideration of the date, time, place, and nature of the parade or public assembly, the

anticipated number of participants, and the city services required in connection with the event, the chief of police

determines that the waiver will not present a hazard to public safety.

(3) For parades or public assemblies held on a regular or recurring basis at the same location, an application for a

permit covering all such parades or assemblies during that calendar year may be filed with the city manager at least thirty

(30) and not more than one hundred eighty (180) days before the date and time at which the first such parade or public

assembly is proposed to commence. The city manager may waive the minimum thirty-day period after due consideration

of the factors specified in subsection (2) above.

(4) The application for a parade or public assembly permit shall set forth the following information:

(a)The name, address and telephone number, if available, a pager number, mobile telephone number, and e-mail

address of the person seeking to conduct such parade or public assembly;

(b)The names, addresses and telephone numbers and, if available, e-mail address of the headquarters of the

organization for which the parade or public assembly is to be conducted, if any, and the authorized and responsible

heads of the organization;

(c)The requested date of the parade or public assembly;

(d)The route to be traveled, including the starting point and the termination point;

(e)The approximate number of persons who, and animals and vehicles which, will constitute such parade or public

assembly and the type of animals and description of the vehicles;

(f)A statement as to whether the parade or public assembly will occupy all or only a portion of the width of the streets

proposed to be traversed;

(g)The location by street of any assembly areas for such parade or public assembly;

(h)The time at which units of the parade or public assembly will begin to assemble at any such area;

(i)The intervals of space to be maintained between units of such parade or public assembly;

(j)If the parade or public assembly is designed to be held by, or on behalf of, any person other than the applicant, the

applicant for such permit shall file a letter from that person with the chief of police authorizing the applicant to apply

for the permit on his behalf;

(k)The type of public assembly, including a description of activities planned during the event;

(l)A description of any recording equipment, sound amplification equipment, banners, signs, or other attention-getting

devices to be used in connection with the parade or public assembly;

(m)The approximate number of participants expected to attend the parade or public assembly;

(n)The approximate number of spectators expected to be in attendance, understanding that a participant is not to be

counted as a spectator;

(o)A designation of any public facilities or equipment, other than the public streets, that are expected to be utilized;

(p)Any additional information that the applicant reasonably believes would be helpful to the city manager in order to

plan for any city services that may be required;

(q)Any additional information the city manager reasonably believes is necessary in order for the city to plan for any

city services that may be required.

(Ord. No. 18,569, § 4(d), 9-18-01)

(For more information visit the “Municipal Code” section of www.littlerock.gov)

Fill Online, Printable, Fillable, Blank Clr Parade Permit Application May 2018 MEMORANDUM (City) Form

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Fillable Clr Parade Permit Application May 2018 MEMORANDUM (City)

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