VNA Family Sports Day}
0 * FEB ►7 ,AcFNA EAR Na. 3
Ct#y of Okeechobee
S5 Soaamst 3i9 Avenue *0k*&**bee. Fkwft 34974 *863< 763.3372
Lbmpveta antre appJka&w with aH spokable attachments and return to the Ofte of the City Clerk The City Departments
wtv be contacted to sign offon the eppffimfim The appflcabw is then Mmarded to the City Counoll. You wN! be nofilbd of the
meeting date. Please none Mis•apprbadon wX cover both a City street and sidewalk There is a separate appticaUbn should
you request the akkvma
Qlt
TEMPORARY STREI_T AND SIDEWALK CLOSING
Name of Applicant r i..3 Today's Date
Address 00 S6 Iza k S 3`~`~ 4 Phone(s) 7?a a~~- B~(~(
Name of Property Owner UA Jn 6P d os Jc_ Wi=n C_
Address c~~f CYO 56 M-a14C4V' P-~ ,,5{~ FL I Phone(s) d,'94`1T (4
Street to be Closed irk .
Dates to be Closed
Ttme(s) to be Closed /44$1
Purpose of Closing
a`~ a VAJA ~awu r Sfbrt-s
Original signatures of all residents, property owners and business owners affected
by street dosing stating whether they approve or object. This can be done on one
list Make sure If It Is a business that the name of the business and owner. Is legible,
N it is a resident make sure the name and address is legible. (Required of all
applications)
Copy of proof of insurance. (Minimum $1,000,000.00, required of all applications)
Attachments if any items are being sold on City street or sidewalk then a Temporary Use Permit
must be attached foreach business participating. Permits can be obtained from
General Semites.
01A, State Food Service License N selling food.
j State AicohoFic Beverage License. (You can only serve on private property. Na
J 'alcohoflc beverages on City property, this includes streets and sidewalks)
OrClean-up is required within 24 hours. '
&wNo alcoholic beverages can be consumed or taken *Out on City property, streets or sidewalks.
WNo donations can be requested if any type of alcoholic beverages are served on prnrate
properWbusiness unless you possess a State Alcoholic Beverage License. Please note there are
inside consumption and outside consumption licenses. You. must have the appropriate license.
OrThe City Public Works Department will deliver the appropriate barricades. The City Police
Department will set them otit and take them down at the appropriate times.
rarDumpsters and ports-lets are required when closing the street for more than 3 hours.
PUBLIC WORKS
DEPARTMENT
i5 Donnie Robertson. Public Works Director
Authorized. Signature Date Typed Name & Title .
POLICE
DEPARTMENT
Dennv Davis. Chief of Police
Authorized Signature Date Typed Name & Title
FIRE
DEPARTMENT C'7
U
e~ ! wprh qmi f'h _ Fire Chief
Au onzea Signature Date Typed Name & Title
Occupational and/or State License Verified:
ADMINISTRATION
Brian- Whitehall, City Administrator
Author z ignat a Date , yped Name & Title
WO
CLERK'S PtLo&i CF4 CL elkL a4-ib _
OFFICE ~ '
H, ~0(VAV l'.Qrx.ce. rac~f,m~a au .
PQ - Lane Gamiotea, City Clerk
Authorized Signature Date Typed Name & Title
APPROVEDIDENIED BY COUNCIL ON:
Rcvised 8/05/03
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