2of2(SEP)
ON PROPERTY LOCATED AT:_________________________________________________
______________________________________________________________________________
Assessor’s Parcel Number(s):______________________________________________________
Legal Description of Property(s):_________________________________________________
______________________________________________________________________________
General Plan Land Use Designation (if stationary):_____________________________________
Zoning of Subject Property (if stationary:____________________________________________
Is this event a fund raiser? Yes No
Will alcohol be sold or consumed? Yes No
Name of Non-profit:_____________________________________________________________
Contact Name:___________________________________Phone No.:_____________________
NOTE TO APPLICANT: Please check each of the following applicable items when
completed and made a part of this application.
Property Owner’s signed authorization (if applicable).
A site plan indicating the following if applicable: Location and boundaries of the
property, dimensions of all lot lines, names and location of all bordering streets and
alleys, size and dimensions of all on-site buildings (existing and proposed), design and
layout of vehicular access, on-site parking and loading areas, location of trash bins,
location of all free-standing signs (existing and proposed), location of all walls or fences,
direction of existing and proposed drainage, scale, north arrow and date.
Depict all on-site signs (existing and proposed), including size, height, material, color and
lighting.
Building Permits and/or Licenses (for Circuses/Carnivals).
APPLICANT’S SIGNATURE AND DATE INDICATES COMPLETION AND
INCORPORATION OF THE ABOVE-MENTIONED ITEMS INTO THIS SPECIAL
EVENT PERMIT APPLICATION.
I certify that I am the record owner or authorized agent, and that the information filed is true and
correct to the best of my knowledge.
_______________________________________ ______________________________
Applicant’s Signature Date
_______________________________________ ______________________________
Owner’s Signature Date
