K-2 - Bella Sala Special Events Application

Event Description: Vendor market - Simply Made Market (email [email protected]) Name of Applicant: Brianne Nicholson Phone: 319-331-8245 Location of Event: Bella Sala - would want access to Tiffin Soccer field lot for overflow parking Date of Event: 4/28/24 Time of Event: 10am-4pm but lot access 9a-5p Estimated Number of Participants: 50 vendors plus up to 1000 guests Person Responsible for Monitoring Event: Brianne Nicholson Plan for Restroom Facilities: Bella Sala Plan for Police Protection: NA Describe Clean Up Plans: After event, will talk the premise Parking Plan: Bella Sala lot and overflow to Tiffin Soccer field lot Description of Mechanical or Electronic Equipment to be used for Sound Amplification: NA Number and Type of Vehicles Including Bicycles to be Used in Event: unknown Temporary Signage Request: Additional Parking for Simply Made Market Special Circumstances Requested from City: permission to use lot 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 3/5/24 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 _______