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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:~ I;)_-~ / - ; .•.._ 2--i Approved: Disapproved: ____ ---- // Date of V. B. Action: ___.@"''-+-"---:7"-cf--"r--'=(C--- ' Conditions of approval will be listed in the permit. Sect. 285R52 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 simllar. 1 Please type or p~int legibly .. , . . Name of Organization: ·Ii///./// r· /j/1 I c ,1 / ti f l Ir • / 1/;. 1,•? 1 Is Organization a: C nQt'.for-profit , Charitable;?ervice Business School Government 1 1 1 Na me & Address of lndivid~aTResponsible: "'~'"';1..,,',""·'-''-/+-;c"I;.,.· -"".+-''-r+-!~'""" ' - - - - - - - - - - - - - - - 1·"- Phone Numbei/i1 Y/11 r' 1JV E-m~il: kl l(ll/24/!1/ luv' ;?') /) j / · I (!/1/ Event Name:7-··t~., i/_-./~;'///t,., (16 :;;::;r .,,'.;~>y;jr•r/ l 1 Date(s) of Even(.</ • JI) ·). ' Time(s) of Event: 1 • Estimated# of People: _ _ __ //~ 1 Please describe activity/purpose of this event:~;~ ( # ' _ _ _ _ _ _ _ _ _ _ _ _ _ __ f'<'-'"._:7_,~'~;'l~t~i._J_' 1 1 1/~''-")1,,,_J-"'·~~i~)'-;_/_~"''-1'.l'-\.L·~;,,,/,1_. :.L/'-/_,·-~''-/""C:_i_,c_/_)_,_/.L!~/"-7'-/_tl__ _ _ _ _ __ Location (include all areas of the event): .~ (attach· map) .• Will this ev~nt_be donating a portion of proceeds to one or more charities and publicizing that in .p.romotional ( , l?t' , materia . , Yes No <,. ).. . l• /,.. ,.. e , . <· .... ·1 / \ If yes, list charities and the percentage of proceeds to be donated:/ zl rr i F.w;· iJ Cc' 1/ )r /1/ ,?;,7 0c,;1:2 1 Will this event be held entirely in the Village of East Aurora?(Y~'' No If no, specify: ••• • Will the event include more than one vendor/organization? Yes <Nd (if Yes, attach list of vendors/participants) Will the event involve a street or.parking lot closure/usage?(YllS No If yes, please note: 1 . • /1(, '" .- Road/Lot Name(s):;.'.+IHJ'f-1"':_/- r ) " ' - · - · - - - - - - - - - - - - - - - - - - - - - - Date(s) of Closure: /, 1:,, 1 ;lo j 1 '------- Time(s):.~1~1/_·_~ Will the event include: Parade or motorcade Yes No (If Yes, attach Map of route) Walk or Run Yes (No , (If Yes, attach Map of route) Will there be outdoor musi~?"Yes'' No Time & Location: Amplification: No /i~s Type: Live DJ ---------------- Multiple/Mixed Will you be providing or selling alcohol? Yes t-·Ncl ,..-··"j Will people be allowed to bring alcohol? Yes (IIJ:r Will there be Security Guards? Yes No c Volunteer~, or Private Paid Entity Please List Entity Name_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Will there be temporary food stands?cYes N:> How many? -"""'2~-- Food Truck? If yes, name of vendor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ (additional permit required) Will a tent or other structure be erected for the event? (Yes7 No Size: - - - - - - - - - - - - - - 1 Date & Time to be installed ~i.L>_._>,_,_._cc./"''(_,______ Date & Time to be removed ~(j_'~'-/_·-~;._,'_.._·!-:_'__;_,