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1 I P a g e Dawson County Special Event Business License Application Contents: • Letter to Applicant • Special Event Business License Requirements • Application Checklist • Application Please see application materials. The Dawson County Manager and/or the Board of Commissioners shall make investigations and hold hearings (if applicable) to assess the impact of the event on the health, safety, general welfare and security of Dawson County citizens. To avoid unnecessary delays, please be sure the application is complete. Please be advised that incomplete applications or applications submitted after the allotted 30-day window will be REJECTED. To prevent this, included is an applicant checklist. Please use the checklist to ensure that all required information is included. If after looking through the Special Event Application and The Dawson County Ordinance, you still have questions please feel free to contact Dawson County Business License at [EMAIL REDACTED] or [PHONE REDACTED] Sincerely, Dawson County Community Development Business License ---PAGE BREAK--- 2 I P a g e DA WSO N CO UNTY C OMMUNI TY DEVEL O P MENT 25 Justice Way, Dawsonville GA – [PHONE REDACTED] Dear Special Event License Applicant: Attached is an application for a Special Event Business License. In accordance with the Dawson County Business License Ordinance, Section 30-109., this application must be completed and submitted to the Community Development Department. The County Manager or the Dawson County Board of Commissioners (when applicable) has authority to approve the application. Events requiring a Special Event License: - Flea markets - Community yard sales - Outdoor exhibitions - Outdoor performances - Outdoor musical festivals - Agritourism events described And all other events defined within the Land Use Ordinance of Dawson County. Events Exempted from a Special Event License: - Outdoor sales or displays conducted on the property of and in conjunction with existing, licensed businesses sidewalk sales) - Garage or yard sales conducted by a single household on residential property - Revivals; reunions; and charity events (unless the charity event involves one or more of the factors included in subsection or of this section). - Please reference the Dawson County Ordinance SEC. 30-109 for more detailed description and regulations. ---PAGE BREAK--- 3 I P a g e Check List [ ] Letter of intent: Include details of the event and potential impact on the community as to security, health, law enforcement, fire, emergency services, utilities, and roads. [ ] Complete Application: If something is not applicable to your event, write "N/A" in that blank. [ ] Completed Site Plan: Provide a detailed site plan showing location of proposed event and corresponding roads affected by the event. [ ] Certificate of Liability Insurance: ---PAGE BREAK--- 4 I P a g e Special Event Business License Application Applicant Information: Name (point of contact): Address: Email: Number: Business Name: Position: [ ] Owner [ ] Authorized Agent [ ] Lessee Note: If applicant is other than owner, enclosed Property Owner Authorization form must be completed Property Owner: Name: Address: Email: Number: Business Name: Property Information: 911 Street address of property: Tax Map and Parcel Number: Current Zoning: Use of Property: ---PAGE BREAK--- 5 I P a g e Site Plan: Please Draw or attach a detailed site plan below: Site Plan Notes: ---PAGE BREAK--- 6 I P a g e Requested Action & Details of Event Special Event Business License for Date(s) of the Event: Anticipated Attendance: Existing Utilities: [ ] Water [ ] Sewer [ ] Gas [ ] Electric Number of Parking Spaces: Proposed Hours of Operation: M-F Sat Sun A permit shall not be granted for any event that includes the hours between 11 :00 p.m. and 7:00 a.m. Sunday through Thursday and between the hours of 12:00 midnight and 7:00 a.m. on Saturday and Sunday mornings. Is there a charge for admission, a ticket, or a tour? [ ] Yes [ ] No Is there a temporary tent structure? [ Yes [ ] No If yes, what is the square footage? Are food vendors participating in the event [ ] Yes [ ] No If yes, are they licensed by the Environmental Health Department? [ ] Yes [ ] No (Please Provide a copy of their license) If yes, how many vendors will participate? Will alcohol be served or sold during the event? If yes, What type? [ ] Beer [ ] Wine [ ] Liquor ---PAGE BREAK--- 7 I P a g e Requested Action & Details of Event Is there any potentially dangerous or hazardous activity? [ ] Yes [ ] No If yes, please describe: Do you foresee any unusual or excessive burden on the Sheriff’s Department, Emergency Services, County Marshal, or other county personnel? [ ] Yes [ ] No If yes, describe Note that as a condition on the issuance of a temporary special event business license, the license holder shall identify and hold Dawson County harmless from claims, demand, or cause of action that may arise from activities associated with the special event. ---PAGE BREAK--- 8 I P a g e PROPERTY OWNER AUTHORIZATION I/ we hereby swear that I/we own the property located at (fill in address and / or tax map & parcel#): Address: TMP: as shown in the tax maps and/or deed records of Dawson County, Georgia, and which parcel will be affected by this request. I hereby authorize the person named below to act as the applicant or agent in pursuit of a business license for a special event held on this property. I understand that any license granted, and/or conditions or stipulations placed on the property will be binding upon the property regardless of ownership. The under signer below is authorized to make this application. Printed Name of applicant or agent: Signature of applicant or agent: Date: Mailing address: City, State, Zip: Telephone Number: Printed Name of Owner(s): Signature of Owner(s): Date: Signature of Notary: My Commission Expires: Notary Stamp ---PAGE BREAK--- 9 I P a g e Note: Before signing this statement, check all answers and explanations to see that you have answered all questions fully and correctly. This statement is to be executed under oath and subject to the penalties of false swearing and it includes all attached sheets submitted herewith. STATE OF GEORGIA, DAWSON COUNTY I, (Print Name) DO SOLEMNLY WEAR, SUBJEC'I' TO PENALTIES OF FALSE SWEARING, THAT THE STATMENTS AND ANSWERES MADE BY ME AS THE APPLICANT IN THE FOREGOING PERSONAL STATMENT ARE TRUE AND CORRECT. (Applicant’s Signature) I HEARBY CERTIFY THAT SIGNED HIS/HER NAME TO THE FORGOING APPLICATION STATING TO ME THAT HE KNEW AND UNDERSTOOD ALL STATEMENTS AND ANSWERS MADE THEREIN, AND, UNDER OATH ACTUALLY ADMINISTERED BY ME, HAS SWORN THAT SAID STATEMENTS AND ANSWERES ARE TRUE AND CORRECT. Executed in (City), (St at e) This Day of 20 Signature of Notary: My Commission Expire: Notary Stamp ---PAGE BREAK--- 10 I P a g e For Office Use Only: Chairman of the Board: (Signature) (Date) Sheriff Services: (Signature) (Date) Fire Marshal: (Signature) (Date) Environmental Health: (Signature) (Date) County Marshal: (Signature) (Date) Community Development Director: (Signature) (Date) County Manager: (Signature) (Date)