I-1 - Special Events Application - Tony Johnson - Fireworks Display for Country Friday

Special Events Application Event Description: Fireworks at Country Friday Name of Applicant: Tony Johnson & Anthony Entertainment, Park Place Live Phone: 319.331.3180 Location of Event: 1100 Andersen Pl., Tiffin, IA 52340 Date of Event: 7-7-23 Time of Event: 10:30 - 45 p.m. Estimated Number of Participants: 700 Person Responsible for Monitoring Event: Andy Newzil, Flashy Thuder Plan for Restroom Facilities: Provided by Blue Moon Plan for Police Protection: Provided by Johnson Co. Sheriff's Office Describe Clean Up Plans: Silver TDRK Properties responsible Parking Plan: North of New York building in park place Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Provided by CNJ Sound - Lisbon, IA Number and Type of Vehicles Including Bicycles to be Used in Event: 0 Temporary Signage Request: Signage will be used around area for safety purposes Special Circumstances Requested from City: none Proof of Insurance Attached: ☐ or Provided by Flashy Thuder 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] 6/21/23 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 _______