K-2 - Special Events Application - Simply Made Market - Bri Nicholson

City of Tiffin Special Events Permit Application APPLICATIONS MUST BE SUBMITTED 30 DAYS PRIOR TO EVENT EVENT INFORMATION: Simply Made Market Event Name: ________________________________________ 4/27/25 Date of Event: ______________________________ Description of Event: __________________________________ 11am-4pm (lot needed 10-5) Time of Event: ______________________________ Vendor market at Bella Sala. Use of Tiffin ___________________________________________________ Bella Sala Location of Event: ___________________________ soccer lot for overflow parking ___________________________________________________ 1000+ Size of Event: (Attendees) _____________________ CONTACT INFORMATION: Bri Nicholson Event Contact Name: _________________________________ 319-331-8245 Contact Phone: _____________________________ [email protected] Contact Email: _________________________________ _____ SITE Contact Name:Bri Nicholson ____________________ _____ 319-331-8245 Event ON Contact Phone: _____________________________ Contact Email: [email protected] ______________________________________ LOGISTICS: Please provide maps Bella Sala lot, soccer lot for overflow, golf cart transport Parking & Traffic Plan: __________________________________________________________________________________ Plan for None Police Protection: (if needed) ______________________________________________________________________ Bella Sala Plan for Restroom Facilities & Locations: ___________________________________________________________________ Plan A few yard signs for guests will be put up & taken down after for Setup/Take down: Signs______________________________________________________________________________ None Temporary Sign Request: (if needed) ______________________________________________________________________ None Tents (size, type and purpose of each tent): _________________________________________________________________ FOOD VENDORS (Required to have active Mobile Food License Permit with City of Tiffin) N/A ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ VENDORS (NON-FOOD, RIDES) N/A ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ADDITIONAL LICENSING: N/A Proof of Insurance (Please attach): ________________________________________________________________________ N/A 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 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 s 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 p 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 w any temporary signage for the event prior to City Approval of signage. 4/27/25 ___________________________________________ _________________________________________ Signature Date For City Use: Authorized City Signature: __________________________________ Date: ____________________________________ Copy to Applicant: _____ Johnson Co. Sheriff Notified: _____ Public Works Notified: _____ Tiffin Fire Notified: _____