Fillable SPECIAL EVENT APPLICATION (Town of Cave Creek)

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SPECIAL EVENT APPLICATION (Town of Cave Creek)

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The SPECIAL EVENT APPLICATION (Town of Cave Creek) form is 4 pages long and contains:

  • 2 signatures
  • 10 check-boxes
  • 63 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Cave Creek

BROWSE TOWN OF CAVE CREEK (AZ) FORMS

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1
Case No.: Application Fee: $
For Official Use Only For Official Use Only
SPECIAL EVENT APPLICATION
(Rev. 10/19)
TOWN OF CAVE CREEK
37622 NORTH CAVE CREEK ROAD
CAVE CREEK, AZ 85331
480-488-6600
Fax 480-488-2263
A. Special Event DATE (s): From: To:
B. Special Event TIME (s): From: To:
C. Special Event LOCATION /ADDRESS:
D. Type of Special Event:
E. APPLICANT / ORGANIZATION:
F. Applicant /Organization ADDRESS:
Phone No.: Fax No: E-mail:
Single Point Of Contact For All Formal Communications:
Name:
Address:
Phone No.: Fax No.: E-mail:
Applicant’s Certification:
I, (print name) ___________________________________, hereby certify that the information provided in this
application is true and correct.
Applicant’s Signature Date
Event Name____________________________________________________________________________________
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signature
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ADDITIONAL COMMENTS (to be completed by the applicant):
SPECIAL EVENT CHECKLIST
SUBMITTED
ITEM (see attachment “A” FOR SPECIFIC REQUIREMENTS)
1.
APPLICATION, WRITTEN NARRATIVE OF EVENT AND FEE.
2.
TRAFFIC CONTROL PLAN and SECURITY PLAN
3.
ROAD CLOSURE – (If required)
4.
TOWN FIRE OFFICIAL NOTIFICATION – APPROVAL
5.
VENDOR LIST - BUSINESS LICENSE REQUIRED FOR ALL VENDORS
6.
LIABILITY INSURANCE (see below for additional information)
7.
RESTROOM FACILITIES
8.
NOISE, LITTER, & LIGHTING PLANS
9.
PROPERTY OWNER AUTHORIZATION
10.
SITE PLAN – SIGNAGE PLAN
CONDITIONS OF APPROVAL:
APPROVAL SIGNATURE:
Title Approval Date
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signature
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ATTACHMENT “A”
1. Completed application with written narrative submittal and fee 30 days prior to event
date.
2. Traffic & Security Control Plan:
Applicant is to
CONTRACT for PEDESTRIAN and TRAFFIC
CONTROL and SECURITY PLAN. A map indicating all points of traffic control as well as a
copy of said contract shall be provided to the Town.
3. Road Closure Permit: Town of Cave Creek Marshal’s Office @ 480-488-6636.
4. Fire Official Notification / Approval: Town of Cave Creek Building Official / Fire
Code Official @ 480-488-6637 or mbaxley@cavecreek.org.
5. Business License Requirement: Town of Cave Creek Town Clerk’s Office @ 480-488-1400
townclerk@cavecreekaz.gov.
6. Liability Insurance Requirements*: A certification of liability insurance shall be
provided. Evidence of liability insurance shall meet the following requirements:
The Town of Cave Creek shall be listed as additionally insured primary noncontributory,
and waiver of subrogation endorsement for the event. With a minimum of one (1) million
dollars for death or bodily injury or loss sustained by any (1) person per occurrence.
b. One (1) million dollars for death or bodily injury or loss sustained by more
than one person per occurrence.
c. Two (2) million dollars for general aggregate.
*
The Certificate and amounts will be subject to review by the Town Risk Pool.
7. Restroom Facilities: A copy of a signed contract shall be provided with the Special
Event Application which provides evidence that at least one (1) permanent or
temporary restroom facility will be provided for each 100 anticipated patrons, or as
otherwise required by Maricopa County Health Code Chapter II-Sewage and Wastes,
Section 6 Privies, Job Toilets, Regulation 6. Job Toilets, Chemical Toilets, Section b. In
addition, restroom facilities shall comply with the American’s with Disabilities Act.
8. Noise, Lighting, Litter: Applicant must comply with the requirements as contained within
the Town Code, Title XIII General Offenses, Chapter 130, §130.07 Nuisances,
and §130.11 Lights. Title IX General Regulations, Chapter 92 Health and Sanitation.
9. Property Owner Authorization: Applicant shall submit written authorization from all
property owners upon whose property is being used for the special event.
10. Site Plan & Signage Plan: Site Plan of Event. Location map of all signs required.
IF YOU ARE INTERESTED IN INCLUDING INFORMATION OF THE SPECIAL EVENT ON
THE TOWN’S WEBSITE, PLEASE EMAIL townclerk@cavecreekaz.gov WITH THE FOLLOWING
INFORMATION. IF YOU WANT TO INCLUDE A LINK TO A SPECIFIC WEBSITE, PLEASE
INCLUDE WEB ADDRESS.
NAME OF EVENT: ___________________________________________________
DATE(S) OF EVENT: __________________________________
TIME: __________________________________
LOCATION: __________________________________
COST: __________________________________
CONTACT PHONE: __________________________________
(optional)
CONTACT EMAIL: ___________________________________
(optional)
DESCRIPTION OF EVENT:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
LINK TO WEBSITE: ______________________________________
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SPECIAL EVENT APPLICATION (Town of Cave Creek)

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Completed 22 January 2021

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