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r <br />OetHWOll ll:ITu FroKlTY OF OnW T-2IT F.OOi/OOS F-W <br />Special Cveat Pcmlt AppBcatioa (cMiftnaci) <br />Sabwiiftalt r, ., ?•. - •• - fij - • <br />Please give consideratloB to the foUowiBC list of doevoiaitf aad/or penniti whfeb jbiX bo <br />required prior to City and Couneil approval Tbo applicatiaB should be sobaitted at least 30 <br />days prior to tbc cveat <br />OpSUDSDll <br />j/l Site plan identUying buildings, drivew^^ local streets, paildAg locations, lempoiaty <br />stnieiurcs (include size), teraporaty restrooms, or aiky cordoned off area(s) <br />o Proposed route of event <br />a Letter ofApproval from the Police Depatunent <br />9 Cerdficaie of General Liability Insuiknce - The City, its agents and employees must be <br />tuuxted as additional insureds, praviding public liability insurance in tbc amount of at least <br />$300,000 for iiyury of one person, $500,000 for iiyuiy of two or more, and $50,000 for <br />property damage. <br />□ Approval of Homeowners Association if the event affects private property where a <br />Homeowners Association has been established, <br />b Notificatioo and/or approval of affected neighbors for events involving the following: <br />- Shows and large assemblies (over 300 people) <br />- Fireworks <br />- Live or aitqilified music <br />- Parade of Homes/Home Tours <br />Licenses/Permita <br />a DNR <br />a Fireworks <br />□ Fire Department (Fire Marshal) <br />□ Gambling <br />a Health Department (County) <br />□ Lake Minnetonka Conservatiott District (LMCD) <br />□ Solicitor's <br />□ Temporaiy Sign <br />□ Vendor License <br />□ Temporaiy Qn*Sale Liquor License (State and Local) <br />o Hennepin County Sheriffs Water Patrol <br />□ Other <br />For Offkc Use Only <br />lUvitw by AdmiAlitruien: <br />o Approved o Denied □ NA By. <br />Review by Baadint ft Zoning: <br />o Approved o Denied O NA Bv:------- <br />0* <br />• <br />Review by Fire Marshal: <br />0 Approved o Denied e NA Bv! <br />r <br />• • <br />Review by Police Depannwm: <br />□ Approved 0 Denied o NA By: _ <br />/ <br />r I <br />I