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Will any prep work be done on/or before the event? Yes
Please describe: - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -
Set up Date: _ _ __ Time: - - - - - -
Clean up Date: _ _ _ _ Time:
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Will additional garbage cans be needed? Yes ~ How many _ _ Drop Off Location : ______
Do you have a Recycling Plan? Yes ~ Pl ease describe :__._N_+-/_/A-__,_________________
Will each vendor/organization be respo nsible for th ei r own garbage? Yes
Will a dumpster be used? Yes ® If yes, location: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Will there be portable lavatories? Yes ~ How M any? _ __
Location(s): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Will there Bell Jar or Games of Chance? Yes @ (if yes, separate permit required)
What is the source of electricity, if applicable? _f'-JL...::::.../2r...:.~~------------------
/
Please list any extras e.g. Light show, loudspeakers, decorations, paints, or dyes:
NoDC.
Police Services Requested: _.._f\.>..L..
l .o:..:.n....1....:e...=--------
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(Crossing Guards may be requi red dependent upon event and is a decision of the Police Department)
DPW Services Requested: - • N - = - c v - e ' - - - = - - - - - - - - - - - - - - - - - - - - - - - - -
Fire/Other: No'{\e_
- Attach a map or sketch showing the location of the event. Such map shall include:
Location of parking facilities, indicating number of parki ng spaces being provided; location of toilet facilities
including the location of port-a-potties; location of public entrance(s) and exit(s) to the event site; location of vendor
facilities (if applicable) including booths, tents and food service facilities; explanation of steps being taken to control
traffic and provide security (if applicable) and the number of security personnel that will be present.
_ L Requesting organization shall attach a completed Certificate of Insurance w ith minimum limits including public
liability coverage of limits of $1,000,000 each occurrence; property damage insurance with limits of $1,000,000 each
occurrence. The policy shall be endorsed to include Village of East Aurora as an additional named insured.
~ Requesting organization shall attach Indemnification Agreement on organization letterhead, signed by
authorized app licant or officer of company and duly notarized (sample included)
"Applicant named herein is fully responsible for obtaining any & all licensing w ith regard to the presentation or
playing of music, pursuant to music copyright laws. The Village of East Aurora assumes no liability in this regard».
Police Department: Conditions/Comments________________________
Dept of Public Works: Conditions/Comments_ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Fire Dept/Disaster Coordinator: Conditions/Comments_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~i n Permits are to be obtained from the Town of Aurora Bulldin De artment 575 Oakwood Ave, 716.652.7591
ClukShued/formsN1ll•c• Permit Apphc,t1on rorms/Apphut1on Ttmpo,,ry UH Pttmk.