Fill - Free fillable Special Event License Special Event App CITY OF OAK PARK PDF form

CITY OF OAK PARK

MICHIGAN

APPLICATION FOR SPECIAL EVENT LICENSE

Today’s Date: _____________________________

Applicant Information

Applicant/Business Name:

Applicant/Business Address:

Phone number: E-Mail Address:

Relation of applicant to business:

Has applicant ever been convicted of a felony? Yes No

Owner Information

Owner or manager of site: Phone:

Names and addresses of partners or officers of corporation:

Event Information

Proposed date(s) of event: Has this event been held previously? Yes No

Address or location of event:

Is this a City owned park?

If this event is to take place in a City owned park, have you received and do you agree to abide by the City’s

Parks and Recreation rules and regulations? Yes No

Nature, purpose, and detailed description of event:

Will the event be open to the public? Yes No

If yes, please describe how so:

Estimated number of people attending event? Hours of Event:

Special Event License Application

Page 2

Are you requesting to have a parade? Yes No If yes, please attach a map of the parade route

Where will the parade participants be walking? Sidewalks Streets

Will the parade require streets to be blocked off? Yes No

If yes, how many streets/intersections will need to be blocked :

Please attach a sign off from the residences located on the affected streets, indicating that they are aware of the

event to take place, the date, times and location.

Food Services

Will food or beverages be sold at event? Yes No, if yes please list type(s) of food to be sold:

Will the food be prepackaged or prepared on site:

Please note: If your application is approved and you plan to prepare food on site, you will

need to contact the Oakland County Health Department at 248-424-7000 for

inspection. You will also need to provide temporary water services at the site

where the food is prepared.

Mechanical Amusement

Will there be any mechanical rides at event? Yes No, if yes, please provide the name and the

address of amusement operators:

Will the event have a moonwalk? Yes No, if yes, please provide the name and address of

Company/Entity providing moonwalk:

Will the event have video games, etc.? If so, please provide the names and address of company providing the

Games: ___________________________________________________________________________________

Please Note: You must provide proof of insurance for all mechanical rides, moonwalks,

circus rides/games, etc. The City of Oak Park must be listed on the insurance

certificate as “additionally insured.” A copy of the City Ordinance with required liability

insurance coverage for these events is attached. Also, certification by the

State of Michigan Department of Labor is required for all mechanical

amusement devices and rides.

Special Event License Application

Page 3

Technical/Support

Will the event require use of electrical supply source? Yes No, if yes, please describe:

Will sanitary facilities be required at event? Yes No

Will tent(s) be used at the event? Yes No, if yes, please state size(s) of tent:

Will the event have banners displayed? Yes No, if so, please provide the number of signs and

dimension(s):

Please Note: If a temporary generator or electric supply source is provided, you must

provide an Electrical permit by a licensed electrical contractor. Also,

you will need certification of flame spread rates of all canvas and/or

cloth enclosures.

Other possible Special Event requirements include: additional application,

inspection and bond fees, temporary sign permit.

The fee for a Special Event application is $100: The fee is non-refundable. Once an application is

received, the City Clerk’s Office will send copies of the application to the following departments: City

Manager, Public Safety, Public Works, and Recreation. Each department will review the application and

provide a written estimate of services they will need to provide, along with man-hours and costs (if any).

The City Clerks’ office will contact the applicant to inform them of the additional costs involved. At

that time the applicant can decide whether or not to proceed with the event. If so, the event will be

placed on the City Council agenda for approval.

Special Event License Application

Page 4

Should any of the above information prove to be inaccurate or untruthful, it will be grounds to deny the

applicant’s request or revoke any approvals. I hereby certify the above information to be true and accurate to

the best of my knowledge.

_________________________________________________

Applicant’s Signature

State of Michigan

ss

County of ____________________

Subscribed and sworn to before me, a Notary Public this ______ day of _______________ 20____, by

_______________________________.

My Commission expires: _____________________ _____________________________________

Notary Public

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Fill Online, Printable, Fillable, Blank Special Event License Special Event App CITY OF OAK PARK Form

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Fillable Special Event License Special Event App CITY OF OAK PARK

Fill Online, Printable, Fillable, Blank Special Event License Special Event App CITY OF OAK PARK Form

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