Discussion and Consideration of Special Events Application – Dance Marathon - Deja Brew – Motion to Approve

City of Tiffin Special Events Permit Application APPLICATIONS MUST BE SUBMITTED 30 DAYS PRIOR TO EVENT EVENT INFORMATION: Event Name: Dance Marathon Description of Event: Date of Event: 10-18-25 Time of Event: 1pm - 4pm Location of Event: 1150 Tall Grass Ave. Size of Event: (Attendees) CONTACT INFORMATION: Event Contact Name: Kara Molle Contact Email: [email protected] Event ON SITE Contact Name: Kara Molle Contact Email: " " Contact Phone: Contact Phone: 319-520-6145 LOGISTICS: Please provide maps Parking & Traffic Plan: Using existing lot Plan for Police Protection: (if needed) none Plan for Restroom Facilities & Locations: Use Dega Brew Plan for Setup/Take down: Temporary Sign Request: (if needed) Tents (size, type and purpose of each tent): FOOD VENDORS (Required to have active Mobile Food License Permit with City of Tiffin) Potential - Da Flava Unit Jamaican Jerk Maggie's Pizza Bloom VENDORS (NON-FOOD, RIDES) Potential Bouncy Bro's Infuse Church Hometown Nutrition Safe Haven Adopt a pet Face painting Air Vax ADDITIONAL LICENSING: Proof of Insurance (Please attach): Alcoholic Beverage License, Name License will be under (Please attach): none 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 2008-277, City of Tiffin, Iowa. I understand that I will not erect any temporary signage for the event prior to City Approval of signage. Kara Molle Signature 10-1-25 Date For City Use: Authorized City Signature: Date: Copy to Applicant: _____ Johnson Co. Sheriff Notified: _____ Public Works Notified: _____ Tiffin Fire Notified: _____