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
click to sign
signature
click to edit