S:\FORMS\Public Works\word - excel\City parade permit.docx
PO Box 458 * Veneta, OR 97487 * 541-935-2191 * 541-935-1838 * www.VenetaOregon.gov
ORGANIZATION
:
APPLICANT
:
DATE OF PARADE
:
START TIME
:
ENDING TIME:
PURPOSE OF PARADE:
I/We agree to comply with all rules, regulations and special conditions governing this parade permit
for the use of City of Veneta streets, parks, and/or city facilities.
THIS PERMIT DOES NOT AUTHORIZE USE OF STATE HIGHWAYS OR NON-CITY PROPERTIES.
PERMITS FROM OREGON DEPT. OF TRANSPORTATION (ODOT) AND/OR LANE COUNTY ARE
REQUIRED IF YOUR PARADE ROUTE INCLUDES STATE OR COUNTY ROADS AND/OR HIGHWAYS.
I/We agree to be responsible for all application clean-up, any additional charges for law
enforcement personnel, and compliance with all applicable governmental
and/or law enforcement
rules, regulations, and approvals.
IN
ADDITION
I/WE WILL
PROVIDE
THE CITY
WITH
A
C
ERTIFICATE
OF
I
NSURANCE NAMING
THE
CITY AS
AN
ADDITIONAL INSURED
.
In the event that I/We do not comply with the City's rules, regulations and special conditions, I/We
understand that the City of Veneta may immediately revoke and terminate this parade permit.
(See reverse side for applicable special conditions).
___________________ __________________________________________
Date Signature of Applicant or Authorized Agent
__________________ __________________ __________________
Home Phone Cell Phone Work Phone
_________________________ __________________ ___________________
Alternate Contact Person Home Phone Cell Phone
PARADE PERMIT
It appearing from the above application that the proposed parade is not to be held for any unlawful
purpose and will not in any manner tend to a breach of the peace, cause damage or unreasonably
interfere with the public use of the streets, or the peace and quiet of the inhabitants of this City.
This permit is issued in accordance with Veneta Municipal Code 10.05.090 and is only valid for the
use of City streets or facilities.
NOW, THEREFORE, the above-named ________________________ is hereby granted a permit
for a parade at the time and date specified for the use of City streets, parks and facilities as shown
on the attached parade permit.
_________________________________
City Administrator Date
click to sign
signature
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