HomeMy WebLinkAboutBusiness License License 1988-12-2
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. CITY OF SPRINGFIELD .
APPLICATION FOR
SPECIAL COMMUNITY EVENT LICENSE
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I. PLEASE PROVIDE THE FOLLOWING INFORMATION REGARDING THE SPONSOR AND EACH OF THE
INDIVIDUALS RESPONSIBLE FOR ORGANIZING THE EVENT:
NAME (S) LOCAL ADDRESS
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LOCAL PHONE
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2. EVENT FOR WHICH LICENSE IS SOUGHT ~ dYl211nq F)pAd; t f)Jo--/t1JzfJf?-
EVENT DATE(S) J\,/'PI1\.tktw',1 V 3 } 1'1 f-,8'
3. IS SPONSOR A NOT -FOR-PROFIT TAll LHIP'l' ENTITY? LIt%:)
4. PLEASE PROVIDE THE FOLLOWING SPECIFIC INFORMATION REGARDING EACH OF THE ACTIVITIES
ANTICIPATED TO OCCUR AS PART OF THE EVENT (Attach Additional Pages if Necessary)
, ACTI V ITY
O}Vf)!t~I~ Drrtn
({/OF- ~J!ln7 UJIl$hQj>
LOCATION !3() .,
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DATE(S)
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TIME(S)
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5. PLEASE PROVIDE A CLEAR STATEMENT OF THE SPECIFIC REASONS YOU BELIEVE THE EVENT WILL
SIGNIFICANTLY CONTRIBUTE TO AND BENEFIT THE SPRINGFIELD COMMUNITY (Attach Additional
Pages If Necessary) rfJ.l!t).~.4ln JJcyuWl1ro..l71l W a./lU I.d.M.ll1AJ Cf1 'r?J<#rua..-G-
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, 6. PLEASE PROVIDE A CLEAR STATEMENT OF THE OPPORTUNITIES FQR CITY-WIDE CITIZEN PARTICI-
PATIONINTHEEVENT: Pr,((ljJ(',I'lr IYlIJrtzJ;I'TZ> Ail 4'..\J<;A-.Yj-<-........ '
7. HAS LIABILITY INSURANCE BEEN OBTAINED FOR THE EVENT? , ~ YES
. . PLEASE INDICATE: (t . t
FACE AMOUNT OF THE POLICY ,9m, /)U () .'
POLICY HOLDER(S) ~tJ..J\.' L? ~ ,'1-
ADDITIONAL INSUREDS fA 'h,., ~LL<A&d"
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8. WILL THE EVENT INCLUDE: \/'
A CARNIVAL: YES ,I)< NO
A CIRCUS: YES""'" NO
IF SO, PLEASE INDICATE THE DATE(S) A~O LOCATION(S)
NO. I F SO,
FOR EACH ~
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