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2. Applications must submitted at least two weeks in advance of the event in order to be processed.

4. Applicant Information
6. Name*
7. Phone Number*
9. Email*
10. Address*
12. Block Party Details
14. Neighborhood Association Notified?*

    Neighborhood Association Map

    1. Yes
    2. No
15. Event Date & Time (Start & End) - Block parties can start no earlier than 10:00 AM and end no later than 10:00 PM*
    Event Date & Time (Start & End) - Block parties can start no earlier than 10:00 AM and end no later than 10:00 PM Start Date

    Event Date & Time (Start & End) - Block parties can start no earlier than 10:00 AM and end no later than 10:00 PM Start Time

    —

    Event Date & Time (Start & End) - Block parties can start no earlier than 10:00 AM and end no later than 10:00 PM End Date

    Event Date & Time (Start & End) - Block parties can start no earlier than 10:00 AM and end no later than 10:00 PM End Time
17. Location Description*
    (For Example, "Nelson Road, between Boulevard & Sprague")
18. Barricade Drop-off Address*
19. Barricade Drop Off Contact Info
    (Include Name & Phone Number of responsible party if different from Applicant)
21. Special Considerations
    (If "yes," see additional submittal requirements in Block Party Rules)
22. Estimated Attendence*
24. Food Truck(s) on Public Property?*

    1. Yes
    2. No
25. Event Tent over 200 Sq. ft. being Erected?*

    1. Yes
    2. No
27. Amplified Music?*

    1. Yes
    2. No
28. If so, what type of amplified music will be used?
30. Mandatory Forms: Indemnification, Rules & Petitions
32. Indemnification & Hold Harmless Agreement
    Indemnification & Hold Harmless Agreement Download

    Please download, sign, scan and submit with this application a signed indemnification agreement. The indemnification must be notarized.
33. Signed Indemnification Agreement*
    Please submit with this application a signed indemnification agreement.
35. Block Party Rules Agreement*

    Block Party Rules Document

    1. I have read and agree to the block party rules.
37. Block Party Petition
    Block Party Petition Template

    As a condition for applying to receive a Block Party permit, the Applicant is required to gather signatures from a simple majority (50% +1) of households located within the Block Party area
38. Petition Upload*
    Please upload your completed petition with the application.
39. Other Supporting Documents
    Please feel free to upload any additional supporting documentation.
43. For Internal Use Only

    1. Approved
    2. Disapproved

    Signature Line____________________
45. Comments (Internal)
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field