CITY OF DULUTH
SPECIAL EVENT PERMIT REQUEST
PLEASE PRINT (Black Ink) OR TYPE
PARADE COMMUNITY EVENT RACE
(CIRCLE ONE)
Name of Event:__________________________________________________ Date of Event: _____________
Starting Time:___________________________ Approximate Finish Time: ____________________________
Starting Location: _________________________________________________________________________
Finish Location: ___________________________________________________________________________
ROUTE: Use of Sidewalk ____ Street ____ or Both ____ (Provide a Separate map if needed:)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Sound amplification? Yes ____ No ____Location: _______________________________________________
Alcohol Expansion applied for: Yes ____ No ____ Electrical Permit required: (see next page) ___________
Approximate number of participants: _________ Approximate number of spectators: ________
Event Director Signature: ____________________________________________ Phone: _________________
PERSON(S) WHO CAN BE CONTACTED DAY OF EVENT IF OTHER THAN EVENT DIRECTOR:
____________________________________________________________________#____________________
********************TO BE FILLED OUT BY THE POLICE DEPARTMENT**********************
Police manpower cost (to be determined by Police Dept.): __________________________________________
Total fee as set by this regulation: $_______________ Date Paid: ____________________________________
Chief of Police approval: __________________________________________________ Date ______________
Chief Administrative Officer approval: ________________________________________ Date ______________
Request Denied (See attached): ______________________________________________________________
Special requirements (cones, fence, cleanup, etc.): ________________________________________________
_________________________________________________________________________________________
(For Office Use) (Note: Copies to be sent to the following by FAX or interoffice mail, from the City Clerk’s Office.)
Chief Administrative Officer Public Works Fire Dept.
Chief of Police Engineering Parks & Recreation
Police Traffic Gold Cross Ambulance DTA
