NEIGHBORHOOD BLOCK PARTY RESIDENT SURVEY
The City of San Diego | San Diego Police Department Traffic Division, Special Events Unit
3554 Ruffin Road | San Diego, CA 92123
Telephone: 858-627-3232 | Fax: 858-627-3235 | Email: tmckenzie@pd.sandiego.gov
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Dear Neighbor,
The following individual plans to hold a Block Party in your neighborhood:
Applicant Name
Applicant E-mail or Telephone Contact
Date
Time (including set-up and clean-up)
Closed Streets Description
Amplified Sound or Other Activity
Description
The City of San Diego requires a Block Party Applicant to provide a copy of this Block Party Resident Survey that
demonstrates 80 percent of the residential units (house, apartment, or condominium complex) within the Block Party
Venue supports the proposed activity. Each residential unit within the Block Party Venue must be surveyed. The
survey must be signed by an individual who is 18 years or older. Should a building with multiple units be managed by
a building owner/manager, they may sign on behalf of tenants if access is denied by the owner/manager and copies
of the form sufficient for each address are provided to the owner/manager by the Applicant. The building
owner/manager, however, must notify all tenants and know of no substantial objection to the proposed impact and
associated activities at the time of signature. The Applicant is responsible for resolving all community and operational
issues associated with the Block Party.
NEIGHBORHOOD BLOCK PARTY RESIDENT SURVEY
The City of San Diego | San Diego Police Department Traffic Division, Special Events Unit
3554 Ruffin Road | San Diego, CA 92123
Telephone: 858-627-3232 | Fax: 858-627-3235 | Email: tmckenzie@pd.sandiego.gov
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By indicating Yes, you on behalf of all residents or tenants at your address, support the proposed Block Party
By indicating No, you on behalf of all residents or tenants at your address, do not support the proposed Block Party.
Address
Authorized Signature
Yes
No