K-2 - Special Events Application - Country Friday - Tony Johnson

Special Events Application Event Description: Laundry Friday at Park Place - Outdoor Concert 3 p.m. - 11 p.m. Name of Applicant: Tony Johnson Phone: 319.331.3180 Location of Event: 1100 Andersen Pl. Tiffin, IA 52340 Date of Event: 7-7-23 Time of Event: 3 p.m. - 11 p.m. Estimated Number of Participants: 750 - 1000 max Person Responsible for Monitoring Event: Tony Johnson Plan for Restroom Facilities: 8 standard porta potties + 2 Handicap Accessible Plan for Police Protection: Called Sheriff for patrol - hired private security for event Describe Clean Up Plans: have cleaning crew in place Parking Plan: Controlled parking by attendants North of New York Building open field Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Provided by CNJ Sound - Libcon - 20x30 Stage + outdoor Spectra System Number and Type of Vehicles Including Bicycles to be Used in Event: (1) Golf cart (1) side by side Temporary Signage Request: Will make signage for parking directions and event Special Circumstances Requested from City: Proof of Insurance Attached: □ or Can be provided another 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 5/11/23 Date 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