K-3 - Special Events Application - Highland Throwing Practice - Carhoff

Event Description: Highland Practice Throwing Name of Applicant: Jenny Carhoff Phone: 319-325-3768 Location of Event: East of Park Building / Rodeo Area Date of Event: Nov. 30th Time of Event: 10AM - 4pm Estimated Number of Participants: 10 - 20 (open to Anyone) Person Responsible for Monitoring Event: Carhoff Clan Plan for Restroom Facilities: Plan for Police Protection: Describe Clean Up Plans: Self cleanup - trash bags? Parking Plan: The Parking lot Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Boom Box? Number and Type of Vehicles Including Bicycles to be Used in Event: None Temporary Signage Request: Special Circumstances Requested from City: Proof of Insurance Attached: ☐ or ________________ 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 11/14/2024 For City Use: Authorized City Signature ____________________________ Date ____________ Copy to Applicant _______ Johnson Co. Sheriff Notified _______ Fees Collected _______ Public Works Notified _______ Tiffin Fire Department Notified _______ Council Approval _______