Event Name:_______________________
Held Before:_______________________
Event Type:_______________________
Other:_______________________
If fundraiser, what charity will the event benefit?_______________________

Target Groups:_______________________
Tickets:_______________________
Ticket Agent Used:_______________________

Alcohol Served:_______________________
Liquor License Received:_______________________
Food/Beverage Available:_______________________

Water Source:_______________________
Sanitary Facilities:_______________________
Source of Electricity:_______________________

Music:_______________________
Other:_______________________

Fireworks Planned:_______________________
Bonfires/Campfires:_______________________

Vendors:_______________________
Other:_______________________
Vendor Stand(s):_______________________

Animals (Petting Zoo):_______________________

Tent(s):_______________________
Tent (s) Size & Type:_______________________
Sides on any Tent:_______________________

Stage (s):_______________________
Stage (s) Size & Type:_______________________
Current Stage:_______________________

Other:_______________________

Private Security:_____________________
Security Company Hired:__________________
Security Company Name:__________________

Parking:__________________
Off Site Location:__________________

Type of Advertising :_______________________
Other :_______________________
Internet/Web URL:_______________________

Is event being promoted by a promoter? _______________________
Promoter Name:_______________________
Street:_______________________
City/State/Zip:_______________________

Have you ever held an event of this type before?_______________________
Similar Event Name:_______________________
Similar Event Location:_______________________

Will any roads be closed as a result of the event?_______________________
List County road(s):_______________________
List state road(s):_______________________

Other Information:_______________________

Events Dates/Times

Date of Event	# Attendees Expected	Staff Start Time	Staff End Time	Public Start Time	Public End Time

Property Location
Property Number:_______________________
Property Street Address:_______________________
City/State/Zip:__________________________________

Applicant
Full Name:_______________________
Street Address:_______________________
City/State/Zip:__________________________________
E-Mail Address:_______________________
Telephone Number:_______________________

Owner
Full Name:_______________________
Street Address:_______________________
City/State/Zip:__________________________________
E-mail Address:_______________________
Telephone Number:_______________________

Applicant is Property Owner?_______________________