02-09-2010 Council Work Session Packet

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Big Island Nature Park Special Activity Permit Application (continuec� � Submittals Please give consideration to the following list of documents and/or permits which may be required prior to City and Council approval. The application rriust be submitted at least 14 days prior to the event. Documents ❑ Site plan identifying the locations within the Park in which the activity will be held. ❑ Certificate of Insurance Coverage may be required depending on nature of activity. ❑ For activities lasting more than 3 hours, description and location of sanitary facilities and an emergency evacuation plan. ❑ 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 special activity, or which, under any such law or regulation, would exempt the applicant from the licensing requirements of Orono City Code Sec. 22-103(c). Licenses/Permits (if applicable) ❑ DNR ❑ Fire Department(Fire Marshal) ❑ Hennepin County Sheriff's Water Patrol ❑ Health Department(County) ❑ Lake Minnetonka Conservation District(LMCD) ❑ Temporary Sign ❑ Building Permit(temporary structure, i.e. tent) ❑ Other 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. Please answer the following questions related to this special activity permit application: PARTICIPANTS/GUESTS Approximately how many people are expected at the activity? Is this activity open to the public? ❑ Yes ❑ No DOCKAGE Approximately how many watercraft are expected? How many of these will be tied up at the Park docks at one time? FEES BEING CHARGED Will the activity have any fees collected? ❑ Yes ❑ No Will there be any tickets sold for the activity? ❑ Yes ❑ No What is the purpose for any money that is collected? LARGE ACTIVITY Will there be more than 200 participants? ❑ Yes ❑ No If yes, please provide a site map of the location of activities, sanitary facilities provided by applicant, garbage containment, etc. Must meet requirements of Orono Code Sec.38-802. Will any special services be required from the Police Department or any other City department? ❑ Yes ❑No Describe the required services: ADDITIONAL INFORMATION Depending on the nature of the activity,additional information may be required.