Text · page 62 of 103
Read the whole document on one page (all 103 pages, each with its own heading)
Will tent or other structure be erected for event? \ill Yes □ No Size ----"-'--=-'--"----~---------
30ft X 20ft
Date & Time to be installed 3/21/26 @8:00am Date & Time to be removed 3/22/26@ 10:00 am
Will any prep work be done on/or before the event? □ Yes 1(1 No
Please describe Set up of tents and moving of furniture
Set up Date: 3/21/26 Time: 8:00 am
Clean up Date: 3/22/26 Time: 12:00 am
Will additional garbage cans be needed? □ Yes Kl No How many_._Drop Off Location _ _ _ __
Will each vendor/organization be responsible for their own garbage? llil Yes □ No
Will a dumpster be used? llil Yes □ No If yes, locatipn = " ~ . - - ~ - ~ ~ ~ ~ ~ - ~ , - - c - ~ - ~ -
Qec,'--{~t\ ph ..(\ - y-" c; '& , • ,; w,-1\'. k: ,. -p; /s
vl,·11 p0 +- 0 '-"1--· kk~ct,u,y,b,n 5
Will there be portable lavatories. Kl Yes □ No How Many? _4__ -J-ecs ~ .
Location(s)27 Riley Street (See Attached Diagram)
Will there Bell Jar or Games of Chance? □ Yes 19 No (if yes, separate permit required)
What is the source of electric, if applicable? __O'-"-lN"-'l'\LL...._0"""'u...,;_.\-=c)'--'-;1--r'-=3c.i'f - - - - - - - - - - - - -
Please list any extras eg. Light show, loud speakers, decorations, paints or dyes:
~olice Services Requested: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
(Crossing Guards may be required dependent upon event and is a decision of the Police Department)
~DPW Services Requested _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Fire/Other - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- Attach map or sketch showing the location of the event. Such map shall include:
Location of parking facilities, indicating number of parking spaces being provided; location of toilet facilities
including the location of pmt-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 sec\U'ity (if applicable) and the number of security personnel that will be present.
_ _ Requesting orga11izatio11 sltall a/tacit a completed Certificate of l11sum11ce with 111i11i111um limits i11clude public
liability covemge of limits of $1,000,000 eaclt occurrence; p1·ope1·ty damage i11sun111ce witlt limits of $1,000,000 each
occ111·re11ce. Policy shall be e11dorsed lo i11clude Village of East Aurom as <Ill additio11al 11amed i11sured.
__·_ Requesting orga11izatio11 sltall al/aclt b1dem11ijicalio11 Agreeme11/ 011 orga11izatio11 lettel'ltead, sig11ed by •
autlto1·ized applicant or officer of compa11y a11d duly 11otarized (sample i11cluded)
''Applica11t named lterei11 is fully respo11sible for obtaining a11y & all lice11si11g witlt regard lo tlte prese11tatio11 or
playing of music, pursuant to music copyright laws. Tlte Village of East Au1·ora assumes 110 liability in this 1·egard".
□ Police Department: Conditions/Comments_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
□ Dept of Public Works: Conditions/Comments_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
□ Fire Dept/Disaster Coordinator: Conditions/Comments _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Sign Permits are to be obtained from the Town of Amara Building Department, 300 Gleed Avenue, 7!6,652.7591
Clerk Shared/FonnsNillage Pennit Application Fonns/Application Temporary Use Pennit