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VILLAGE OF EAST AURORA
APPLICATION FOR TEMPORARY USE PERMIT
Not less than 60 days or more than 75 days before date of activity
$25.00 Application Fee_____ $50.00 Permit Fee _ _ _ __
$100.00 Mailer Fee (300 feet for road/public parking lot closure and/or outdoor music)
-----
Date Application Filed:
Date of V.B. Action:
--------- Approved: _ _ __ Disapproved: _ _ __
---------- Conditions of approval will be listed in the permit.
Sect. 285-52 Participants of an area activity, such as, but not necessarily limited to, a sidewalk sale, art, antique, craft
show and/or sales, farmers market, or community/civic promotion activities and similar.
Please type or print legibly
Name of Organization: ~t,._"'..{ ,A'-.>-S.,..-e-- k ·. L <;~~ ... \
Is Organization a: not-for-profit Charitable/Service Business Government
Na me & Address of Ind ivid ua I Responsible: ·-'
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Phone Nu mber:71<a ~ ' ·2:-Sl>'i. E-mail: _ W- ~_ t'" _i>_~_ c._ .. ::-h.
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Event Name: ~ f"'.A....C-o ~~ f c:..r-~
Date(s) of Event: ?<;c-+ 2s-. -z.iic.... Time(s) of Event: I '. '"5D f>.1--1.. Estimated # of People: ·300
Please describe activity/purpose of this event: _A
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Location (include all areas of the event): \Cc::-..Q::.-l-s~~ ,o._.--s\c_ . .Pr-o,.,,,..__ ~L-.......\:',\..... -.l. f~- lL'--- .
(attach map)
Will this event a e onating a portion of proceeds to one or more charities and publicizing that in promotional
material? Yes o
If yes, list chari • and the percentage of proceeds to be donated: _ _ _ _ _ _ _ _ _ _ _ _ _ __
Will this event be held entirely in the Village of East Aurora? @ No
If no, specify: - - - - - - - - - - -:::....!:'1. . - - - - - - - - - - - - - - -
Will the event include more than one vendor/organization? Yes o if Yes, attach list of vendors/participants)
Will the event involve a street or parking lot closure/usage?@ No If yes, please note:
Road/Lot Name(s) : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Date(s) of Closure : _ _ _ _ _ _ _ _ _ _ _ _ Time(s): _ _ _ _ _ _ _ _ __
Will the event include :
Parade or motorcade ~ No (If Yes, attach Map of route)
Walk or Run Yes -No- (If Yes, attach Map of route)
Will there be outdoor music? Yes -Mr' Time & Location : _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Amplification: Yes -No- Live DJ Multiple/Mixed
Will you be providing or selling alcohol? Yes
Will people be allowed to bring alcohol? Yes
Will there be Security Guards? Yes Volunteers or Private Paid Entity
Please List Entity Name_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Will there be temporary food stands? Yes @)
How many? _ _ __
Food Truck? If yes, name of vendor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
(additional permit required)
Will a tent or other structure be erected for the event? Yes ~ Size: _ _ _ _ _ _ _ _ _ _ _ _ _ __
Date & Time to be installed _ _ _ _ _ _ _ _ _ _ _ _ Date & Time to be removed _ _ _ _ _ _ _ _ __