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PLEASE ATTACH THE FOLLOWING: <br />�" Map of the proposed area to be used showing barricades, street route, and/or <br />perimeter/security fencing. The map should indicate how the area will be physically enclosed <br />and show the location of tables, chairs, food, beverage stations and any other important <br />features. <br />If a street is to be closed for an extended period of time, attach a list of signatures from all <br />property owners that will be affected by the street closing. <br />Parades that will be affecting streets must coordinate with the Police Department. <br />Certificate of Liability Insurance with a minimum per occurrence limit of $1,000,000 which <br />shall include the City of Pequot Lakes as an additional insured. <br />Public health plans including supplying water to the site, solid waste collection, and <br />provision of toilet facilities. <br />Fire prevention and emergency medical service plans. <br />Security plans. <br />Signed Release and Indemnification Agreement. <br />� <br />( FOR OFFICE USE ) <br />llA'1'L AYYLICA'1'ION IS KEC�;I�'l;ll <br />AI'PLICATIOl\� RI:�'II;WED BY POLICE <br />APYI,ICA'1'ION Rl?VIr:WEll BY YUBI,IC Vl'ORKS <br />I.IABILI"1'1' INSt?I2ANCE RECr:i�'l:ll <br />1;VF,N"1' AU'1'HOKI'/,l;D BY TH� CI1'Y COiJNCIL <br />COMMENrl'S <br />� <br />S:\Sandy Documents�L.icenses\Special Event Permits\Special Event Application.doc <br />Page 2 of 2 <br />