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(Provide drawings describing location, size, and text of all proposed signs for this event to the Town of Aurora Building Department, 5 South Grove St. Approved signs may be erected 30 days prior to the event and must be removed immediately a~er same.) I make this application and agree to abide by the Guidelines for Use of Hamlin Park. ~~--'L.:.-c1,,_l[v--_, _ 'f / I / Llf Date Official Use Only Below this Line- - - - - -- -- - - - - ---- - - - - --- - - - -- ----------------------------- -- --- - -- - -- - - - Attachment Submitted: ✓ Indemnification Agreement Certificate of Insurance / M a p with area(s) requested to be used indicated. / c o p y of application for sign permit, if applicable, (Upon application approval, copy of approved sign permit must be filed with the Village Clerk NO LATER THAN S days prior to scheduled event.) Action by Village Board: If referred to Friends of Hamlin Park Advisory Board, date of VB referral: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Application recommended or not recommended by HPAB. (Attach written referral submitted to application.) The Village Board, upon review of the application took the following action, with or without conditions (as applicable) and noted below: Date: Approved, _ _ _ _ _ _ _ _ _ _ _ _ _ __ Denied: _ _ _ _ _ _ _ _ _ _ _ _ _ __ Village Clerk Signature Village Clerk Signature Conditions: _ _ Police Department approval _ _ DPW approval _ _ Fire Department approval _ _ Requesting organization shall attach a completed Certificate of Insurance with Minimum Limits to include public liability coverage with limits of $1,000,000ea occurrence; property damage insurance with limits of $1,000,000ea occurrence. Policy shall be endorsed to include Village of East Aurora as an additional named insured. _ _ Requesting organization shall sign an Indemnification Agreement, on organization letterhead, Signed by authorized applicant or officer of company and duly notarized. _Other___________________________________