information (address, email and phone) for this individual should be included in the letter.
Business Name__________________________ Tel _(____)____________________ Email___________________
For Private Property Event, a letter from the property owner (or an agent authorized by the owner) must
be included with this application. The letter should be on company letterhead acknowledging their
approval of the event, knowledge of the date, time and activities scheduled to take place. Contact
Director of Environmental Services or his/her designee if the following conditions are met: the event occurs on a City street
or on a City-owned site, facility or public park and has an average daily attendance of at least 1,000 persons.
Signature______________________________________________________________ Date___________________
Print Name___________________________________________________ Title_____________________________
_____ _____ Will there be any food and/or beverages prepared, sold or served at the event?
_____ _____ Will there be sales of any kind?
_____ _____ Will there be any activity connected to the event? (Examples: live animal display, parachute jump).
_____ _____ Do you require any City services? (Examples: traffic control, tow zone, street barricades, electrical
If you answered NO to all of the questions in this section, you have completed this application. Sign the Declaration
below, attach the Mandatroy Site Diagram or Route Map and submit your application.
If you answered YES to ANY of the questions in this section, please complete the remainder of this application.
As the authorized representative of the applicant, I hereby declare that:
Applicant shall have first obtained all approvals and paid any license fee or other fee required by the copyright owner.
SPECIAL EVENT PERMIT APPLICATION - CITY OF BEAUMONT
_____ _____ Was this event held last year? If yes, where_______________________ Attendance?______________
_____ _____ Is this a Charitable fundraiser? If yes, for what cause?________________________________________
_____ _____ Is there an attandance fee? Fee per person: $________ Fee collected in advance?________
_____ _____ Is this event open to the public?
_____ _____ Will any equipment be used on the event site? (Examples: fence, tent, canopy, table, chair, stage,
trash container, dumpster, booth, amplified sound system, musical instruments, carnival ride,
parade float, portable toilet, ect.)
_____ _____ Will the event require the closure of any public street or traffic lane?
SPECIFIC EVENT INFORMATION
_____ _____ Will there be any areas within the event that will be for private use only? (Example:VIP area, ect.)
MANDATORY ATTACHMENTS: Required to be submitted with every application. Reference page ii for instructions.
_____EVENT NARRATIVE: Please provide a description of the event theme, purpose,schedule of activities,
entertainment, food, beverages (including alcohol), cleanup plan, ect.
_____SITE DIAGRAM: For activities on public and private property: a detailed drawing depicting the proposed latout,
including the location of booths, tables, stages, fences, dumpsters, signage, portable toilets and all other event
equipment. For any activity on private property: diagram must also show all marked parking spaces, adjacent streets,
residential units, and indicate the linear feet from the event boundary to streets and residences.
_____ROUTE MAP: For parades, runs, walks and races on public streets or sidewalks: a map of the proposed route,
route, start and finish points, direction of movement and proposed street closures including the specific lane(s) requiring
1. The information contained in this application and attachment(s) is true, complete and to the best of my knowledge.
2. Applicant agrees to defend, indemnify and hold harmless City, its officers, agents and employees from and against any
and all claims, demands, causes of action, or liabilities incurred by City, its officers, agents, or employees, arising from
Applicant's acts or omissions under this Agreement or any act of omission of the Applicant's permission or invitation of
Applicant, except as may arise from the negligence or willful misconduct of City, its officers, agents, contractors, or
employees. In any action or claim against City in which Applicant is defending City, City shall have the right to approve
legal counsel providing City's defense and such approval shall not be reasonably withheld.
3. Applicant has received and understands the information contained in the Special Events Guidelines and will adhere to
required arrangements listed within these Guidelines.
4. Applicant will pay for actual costs of any City services provided for your event within 30 days from receipt of City invoice.
6. Applicant will provide access to the City's Special Event recycling service provider at a level of service established by the
5. No copyrighted musical or visual arts composition shall be performed or played, weather amplified, televised, in the
form of a mechanical recording or personal rendition, or otherwise in connection with any use of City property, unless the
Without limitation of any other provision, Applicant's indemnification of City as set forth in a permit or authorization to
conduct an event, shall include indemnifying and saving City harmless from and against any and all liability or
responsibility whatsoever for any infringement of an/or other violation of the right of any such copyright owner under any
