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Special Event Permit Application (continued) Snbnuttals-. Please give consideration to the following list of documents and/or permits which may be required prior to City and Council approval. The application should be submitted at least 14 days prior to the event. Documents [Z Site plan identifying buildings, driveways, local streets, parking locations, temporary structures (include size), temporary restrooms, or any cordoned off area(s) for special events ❑ Proposed parade route or location of event ❑ - Signature of the owner of the property on which the special event is to be held. ❑ Approval of Homeowners Association if the event affects private property where a Homeowners Association has been established. ❑ Proof of written notice to all property owners within 350 feet of the location on which a special event is to be held at least 10 days prior to the event. The notice must contain the date, time, and location of the special event. ❑ Shuttle bus service will be required for all Parade of Homes/Home Tours unless applicant demonstrates sufficient on-site parking is available. Shuttle bus plan to be included with application. ❑ Proof of possession of any license or permit which, under federal, state or local laws or regulations, the applicant is required to have in order to conduct the parade or special event, or which, under any such law or regulation, would exempt the applicant from the licensing requirements of Orono City Code Sec. 66- 223. ❑ A policy or certificate of insurance on which the city, its agents and employees, are additional insureds, providing public liability insurance. providing umbrella or all perils coverage in the amount of $12000,000.00. Licenses/Permits Lif applicable) ❑ DNR ❑ Lake Minnetonka Conservation District (LMCD) ❑ Fireworks ❑ Peddler, Solicitor or Transient Merchant ❑ Fire Department (Fire Marshal) ❑ Temporary Sign ❑ Gambling m Building Permit (temporary structure, i.e. tent) ❑ Hennepin County Sheriff's Water Patrol ❑ Vendor License ❑ Health Department (County) ❑ Other -❑ Temporary Liquor License (State and Local) — Any time alcohol is served or sold to the general public, or if alcohol is sold at a private partylevent-even if included in ticket price. May only be issued to a club, charitable, religious, or non-profit organization, or political committee registered -under state law. Some or all of the information that you are asked to provide on the application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information will be used to determine your qualification for the permit or license requested. If you refuse to supply the information, the permit or license may not be issued. For Office Use Only Review by Administration: ❑ Approved ❑ Denied ❑: NA Review by Building & Zoning: ❑ Approved ❑ Denied ❑ NA Review by Fire Marshal: ❑ Approved ❑ Denied ❑ NA Review by Police Department: ❑ Approved ❑ Denied ❑ NA By: By: By= By: W:VApplications, license or Permit Applications)\Special Event Permit Application 06-15_doc