Packet: City Council (test) (06/03/2025)

City of Tiffin Special Events Permit Application APPLICATIONS MUST BE SUBMITTED 30 DAYS PRIOR TO EVENT EVENT INFORMATION: Event Name: ________________________________________ Date of Event: ______________________________ Description of Event: __________________________________ Time of Event: ______________________________ ___________________________________________________ Location of Event: ___________________________ ___________________________________________________ Size of Event: (Attendees) _____________________ CONTACT INFORMATION: Event Contact Name: _________________________________ Contact Phone: _____________________________ Contact Email: _________________________________ _____ Event ON SITE Contact Name: _________________________ Contact Phone: _____________________________ Contact Email: ______________________________________ LOGISTICS: Please provide maps Parking & Traffic Plan: __________________________________________________________________________________ Plan for Police Protection: (if needed) ______________________________________________________________________ Plan for Restroom Facilities & Locations: ___________________________________________________________________ Plan for Setup/Take down: ______________________________________________________________________________ Temporary Sign Request: (if needed) ______________________________________________________________________ Tents (size, type and purpose of each tent): _________________________________________________________________ FOOD VENDORS (Required to have active Mobile Food License Permit with City of Tiffin) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ _____ VENDORS (NON-FOOD, RIDES) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ _______ ADDITIONAL LICENSING: Proof of Insurance (Please attach): ________________________________________________________________________ Alcoholic Beverage License, Name License will be under (Please attach): __________________________________________ I certify that I am the person authorized to act on behalf of the event to request this permit and understand and agree to pay on behalf of the City all sums which the City shall be obligated to pay by reason of any liability imposed upon the City for damages of any kind resulting from use of public property and the public right of way, whether sustained by any person or persons, caused by accident or otherwise and shall defend as its own expense and on behalf of the City any claim against the City arising out of the use of public property and the public right of way and agree to follow all other ordinances that shall pertain including Ordinance 2006-277, City of Tiffin, Iowa. I understand that I will not erect any temporary signage for the event prior to City Approval of signage. ___________________________________________ _________________________________________ Signature Date For City Use: Authorized City Signature: __________________________________ Date: ____________________________________ Copy to Applicant: _____ Johnson Co. Sheriff Notified: _____ Public Works Notified: _____ Tiffin Fire Notified: _____