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PAGE | 4 OF 4 <br />Required Attachments <br />Must be attached to the Special Event Permit Application when submitted, as applicable: <br />☐ An event map showing requested use of streets and/or sidewalks (for a parade, run, etc.) or <br />will use multiple locations. Attach a complete map showing assembly and dispersal <br />locations, route plan, and any streets or parking lots you are requesting be blocked. <br />☐ Temporary Liquor License application is required for the sale of alcoholic beverages. MN <br />State Statute 340A.404 (10) The governing body of a municipality may issue to (1) a club or <br />charitable, religious, or other nonprofit organization in existence for at least three years, (2) a <br />political committee registered under section 10A.14, or (3) a state university, a temporary <br />license for the on-sale of intoxicating liquor in connection with a social event within the <br />municipality sponsored by the licensee. <br />☐ If the organization is a registered non-profit, a copy of the IRS determination letter. <br />Signature of Event Applicant <br />I understand that I am required to obtain insurance coverage as outlined herein before the City will approve my use <br />of City property or right-of way. I hereby agree to obtain such coverage as the City may deem necessary and to <br />provide City all necessary documentation of such insurance coverage. I further certify under the penalty of perjury <br />that I am authorized to execute contracts and other instruments and legally bind the Applicant. <br />Signature of Event Applicant ___________JDH_____________________ Date _5/26/22______ <br />Printed Name and Title of Event Applicant ___Julianne Hunter <br />Chair___________________________________________ <br />For City Use Only <br />Please return this page with your signature and comments to the City Clerk as soon as possible <br />Department Signature of Approval Date Staff Comments <br />Public Works ______________________ ___________ <br />Fire Department ______________________ ___________ <br />Police Department ______________________ ___________ <br />Administration ______________________ ___________