Temporary Outdoor Exhibition Permit Application
Per Title 3 Chapter 17 of the city code, this application is required to regulate activities conducted on
private or public property which are of temporary duration and are held entirely or partially out-of-doors.
Please submit this application at least 30 days prior to the event.
APPLICANT INFORMATION
PLEASE COMPLETE ALL SECTIONS
Applicant Name: ______________________________________________________________________
(First) (Middle) (Last)
Agency/Organization Name: _____________________________________________________________
Address: _____________________________________________________________________________
Email: ___________________________________ Daytime Phone: ____________ Cell: _____________
Date(s) of Activity: _____________________________________ Hours: ____________________
Type of Activity: ______________________________________________________________________
Location of Event: _____________________________________________________________________
Temporary Structures: __________________________________________________________________
(Tents 200 sq. ft. or larger require a permit from the fire department. No charge with this permit).
Number of Parking Spaces Impacted: ______________________________________________________
Yes____ No____ Permission Granted by Property Owner
Yes____ No____ Is Public Property Involved: ______________________________________
Yes____ No____ Restroom Facilities Location: _____________________________________
Yes____ No____ Garbage/Recycling Arranged Through: City ____ or Property Owner _____
Yes____ No____ Electrical Needs and How Served: __________________________________
Yes____ No____ Traffic Control Provisions Being Used: _______________________________
Yes____ No____ Crowd Control Provisions Being Used: _______________________________
Yes____ No____ Food and/or Drink Displayed for Dispensing: __________________________
Dept of Health licenses/permits must be collected and displayed at event.
Yes____ No____ Appropriate insurance certificates collected
(If on public property, must have $2,000,000 general liability insurance listing the city
of Farmington as additional insureds)
.
