Special Event Permit

_________

MflR-9-2009

Pj412P FROM:LNWIRED

_______

__________ _________

TQ:4933

4697513515

OFFICE OF SPECIAL EVENTS

P.1’5

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City of Dallas 650 S. cnmn Suect, Dallas, Texas 75202 Phone: 214/939-2701 Fax: 2141939-2709 daH$sspla1c(ent,cpm

SPECIAL EVENT PERMIT APPLICATION ict ‘iL°’

I

SiicntPcnnit 0-200 people $30 201 400 people 401400 pcnple $75

Comm

aLilmin

$50 For-’ii fit Noe p out

Late Apjçatjj

t0 1-100

$100

1001-20,000 peoplo over 20,000 people

S250.00

Anvlkon.C*nnc

$40

S500.00

-

All fees must be m the form of Money OEdez Cbeck, or Citda Cani to tl C 1 Dab accompany this form at the rune of ission. Appitcation imt be filed nati .tiiIa

Etz

I tO’ 2

E0o0

20/PerPo1e BO/Per Pole

)ftIce af Special Events and

bcfon t1 evenL

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Orantiation

I8o(

EdV(jLEi-. Milling Addreii ity,St

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2752.4k(,3

‘l-2-i3-2c.3

2-2(-’fr{

Daytime Pbone

Q Non-Profit

[]For-Pmfit

Q

Zip

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Fax

Organization 1ype

LLA,,(?< 72D ,

Addi r

Govennmnt

mtk

QOtlier

Zt3Ll4433S Emergency Cont*ct

Daytime Pho

After

Note Changes w original apphcation will ONLY be accepted by ‘r ap contact an writing No ehangcito *pplacatioes will be msdc withf4 days t-( IK)\

I ‘I ‘tllt lP)Io\ (‘/J

Event Title and Typc Banner Poles [JFilnung QRun/WaIk I]

Event Dacriptlon

icant or emergency scheduled event date.

Carnival azade Q

1 A M1

-

1

Ccttmony tjPaity

LjTournannt

t%JA71 0NPrt.R&.Q.O

QwJ1an veok do ou cxncqt to Mzthoig evin1 Sunda LMonia I [ Event Day # of Participanta # of Spectatoni

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Q Cncus DPicnic LjOther

D Conceit QPo1iticai

SF

hgious piocession

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Satuiday

MflR-9-2009

04:12P FRON:LJNWIRED

Event Sct.Up Tine; % ‘ Event SetUp Date Event SrtDgc: 4 / LJ For each day of the week on which tI Event Day

_ 1 [Sunda

Evcnt dt)atc: Event ‘bar Down Time: Evcnt Rar Down Date: vctwWbe imlicatethcgtartaral ga ia

LEveSttThe

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LventStnvThne

AdmissionfRcgistiauon Fec;

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£veiitAdd,tu; reded

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by the evd

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if any of the folloiing compots w be it of yowcvent, please check the ‘nat peirnts requiu4 en obtain a radditk,imlfeer

D Mc*,hel Q City Kill Pla LI Fuwotks Q Food. Bevem t/orMerchandj LI Hooded Pking Meters LI Liquid Pue Gas QWmpeny J.Police Officers 1eng) (See below if 400 sq. f D4 DEiccincity D Bleachers

DAnimais Q Bannei

a Test Peiit Thm

t*xtTABC: (114) 67S. Cy Wall Coo C ct oa m Rescue: Ci wiyuiipieI & U Ceissct Dept of Traxpoita 41 Dallas Fire Dcpsms *PaikDepeztnw (nctDalkis Po) [pt4 (sctDallnc Pire Rescue:

Sales

revef)

1cR

ges Ii Special Pa*ix

ty of flaHaa

(1) CçIdc .T P.wAçIiLaIi,a F (2) Prep 3 oic of a (3)

(4) (5) (6)

,iufn IUii .hnw loce of piopd i(i) .d frdi dLNc fiuin tc(s) L jwvp1y Imc. n7IIII1) Sulinli 3 cvpi dth iific*n of flwht SutmüL 3

occa

otth ocin pvo%’vqnw.d

of $pccial Evcnt Punn if Prov wr rizniwn fram

bow copy

pm

ii

with spcsaI wiu bc adtd ai City p.t

.

Inskilngyoaniybe

14)93 2O1 670-7 L4 avirx l4) 670-80S3 214)6 -412O 214)11 1.4324

7o.g!

kbl3r :(214)671-4460 670-4’ G

Jwat 4dn

I Traff

tones

7

P1J

Ticket 1ces:

Q’t

CharitabIc&rfit

Uu sired(s)

Satwday

Friday

___

_____

04:13P FROP1:UNWIRED

MAR-9-2O9

Mii4w

__

P.3,5

469t3515

II

List all appücablc sucet locations wz

,citk block m

Number of Street Pofr

ers

nevej:

Instat

APPLICATIONS wrra MI TIMELY MANNER AND M

S!DTNA .ZSAGC rXMff.

G INFOI tATION C4N NOl FREVENeISSUANCE OF ‘ii

List event spoasor(s) with EXCLUS

SAIl

DVLWFISINGi flraa

Corn pane

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E

1

I

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If ilcobol Is sold at tbc e% SmmOrz3 Eicway, Sudv 330, I C

visquire.

TABC locat at

r1aüia tcqoray r’ r,

(214) 67$-4J0S.

I

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The Cfty of Dallas auiiris O al to a bwid iwaci of wrlcx applt licensed vendor lawfully operating a cvctt infonuon and are’ spccbl req baun, location and event layout. (2) kcarious 0*1 lIt l3iUt tZl) (1) procedures for thc sale of food, bcvcz —

food, bevua goods or savis at or s. TIE O tSpccial Evans iill wiibi a Joca nor area in which yo bcfoUoicd to cifk lOcalion nn which the vazio i produ brand 4. bcragc. nzcbendi

aspc cIomorarcainthecity woodfyc.hcity bI1 teve be eoulxted with basic C , istan (t) Thz ccis (please indicate (4) — ccrdcs nazi payment

,

upxxt&

%(*t

If the estimated mzn*cr of pmicq Iea 30 days before the specbl evi toundariz,s of the az n which the ani41ug thc mute of a pm&izsaic following infortranion: (I) evem *b intorested persons way cot*as the

ind cpectatois øceed 500 during any deliver indtten notice to all ocrs eclal event wffl be ondected, iock such as a s*dal event parade or Iocat (2) an application kne ofSpockitE*at 650 S., Gri4Fan %

eetlW, the applicLlnt sb211. at t tztg Lt trpmt’ f rca! nts of teal propelty nmst ineJode d e 1tpeflhil has been filed, (3) :431 s15202, (21.4) 93)-27i) .

If U catimiUal miruber of isuIkpas procure and kcep in full force the State of’l’cxis ax4accqLlbk to i

at sptatoas icccda ZSCO during any ,rthcdut,tieofthc L ity ax4 iszdh the Td fonn pp

the p ini cve, the appIfcnt hfl

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1

addkoIirs.rcd Avgla1

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be .ebat._

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‘t t — DeitmciR of [icunuwe. d esbva ai th d’ pcrmtt app&cioa

MFR-9-2Oø9

04:13P FROMUNWIRED

469

Commercial Gcncnd UabUity 1nz pperty damage of ixt less than $( $1,000,000 for each omte if the

cetbc

DOforeach o

•i nd

3515

is otd, 5cr4e4, or otJ

oholia be er ,i&t

If a special event iacludcs vekIcs, I the nc’ Ilihility ln c:) 1 b: n-dcd ‘th 1 i th. v:

urb,airtrz

Special Eveat on Street t single limii ofliabllitr for bodily inj

t Pota Co crc,it gpzcr1 ihiIit 4

The appicanI may be rcquixed to a The total nuncr of police Ufficas raes, ti Ofl Police Depwtcnt ‘t.’(5) tIE IitTE of day timing wtiicb the pcdcstiian tni and, (7) the hintory

c poh office formcwuty, crowd... is dcuniu4 ariablcs. iiwh ( ..,, .—i—• 4 s cii event is t ducted (6) the need f, tbepa4iculars :

The Office of Special Events skill ih fact on the appbention or fails to coza Chapter 42A, SpedaI Evms” of the

een permit if the with or th Lj iil Cy Co&pr any odzr applicabk I.

br2 ::

t.

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——

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rtI ta-’c c;rrfem

or other cquiprncnt, -“-:---‘

4 n.y aid pnpcily

corn uqjniigk liutha of £thlhty’l

dnvige

in

iacuamx.

a

Brnen

nits of álity for bodily injury and ccn 2,l0I ami 4,O’) ad

vdcd with combined a rienee if the estimated s is 5,000 or more.

Uquor Liability Iasiranec If any L.quor Liability Liswuucc must be $1,000,000 for each claim.

coverage [ft

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Iubo1at the 5alC’bCQ2 £%cT !9 itter of pail (qnIs and tito

d

iugntthe spa

orievokea

be praidod Lb vombincd .ui1E .hoc.uu;rxc

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t

(4) weh!r ndAUons

clow m rerouting of vetikithr or

cat crrfral

pia

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The special event pcmit shall also b t1ctucd or ztc clüef of the flue &pennnt dcxtLi I. ,

fir the eixzblctces

r,c!is

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c!l. tkO1Th

f5cial Ei4s shall a :fth ppca

An applica&pcison conxzmte an olte if he/she comi violation of any prnvision of the sped c’tnl ptmc applicable law.

uceorcoadmWa rpec I

it) th:

Each offense is penistiable by a fli iiioe*ceed$ public health, sanitation, hEludin du gofuusc.

(XI for each iolalion c

• iior

ise irc

by certified mail, return oo hew to file anappeal

with the Permit aml License Appeal ‘

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As a condition of a Special Event Pet tbeing issur4, permit !s!c1r L;rce CityofDallaca**iallofitsofficcrs,n ;, Zth:—i t’.. -.s : Ic or pth ale, lIszt c”— ur da1cvent,orWc or his agents, r tseinativcs, contra 3,01 CflJp.0 Th pcrnt !al&r i—.---”-1 may be icmki agaitmt tim City of C or its a —“..,••-• after thjialgmt bunzn fmaJ and ppeade. ._,

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50Cc Xcointiugingapanofthe •q of the pcnnit helter a or !Lz:* cz ‘i’ •“

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_________

__________ ______

MflR—9-2@09

04:13P FROtI:UNNIPED

469

k 493

[3515

P.5,5

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—1 ( $JO\ I

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By signing below, fir Applinm cend .1 co&s. ordhzn*zs. laws aid the coJzfit

aóou provided

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c suecial CnN oesmit

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and ant undcrstood the

* — with all atathct

tPRG ESSEDINA —4

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MAR1OZOOS

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jiiowarwoiaiW Date Received: Event Number

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