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CITY OF DOUGLAS ONE DAY OPEN CONTAINER PERMIT APPLICATION Authorizes the consumption only of liquor upon public property in a specified location and for a specified amount of time. Please submit your application to the City Clerk a minimum of 14 calendar days prior to your event to ensure adequate time for processing and mailing. Required permit fees are non-refundable, even if a permit is not approved; deposit fees, if required, are refundable. INFORMATION REGARDING APPLICANT: Full Name: Address: City: State/Zip: Phone number: Cell: Organization Name (if applicable): Primary contact person (if different from applicant): Phone number(s): Cell: INFORMATION REGARDING EVENT: Type of event to be held: Approximate # of people attending: Date permit will be used: Hours of permit: to (am/pm) Location/premise where permit will be used: Define Boundaries of permit area (attach map and diagram showing consumption area: Security/control/supervision measures to be used (e.g. monitoring in place; supervision methods of children; checking IDs, etc.): Any person, organization, or licensee who is issued a permit hereunder, shall by operation of the issuance of the permit, indemnify and hold the City, its employees, agents and representatives, including members of the City Council in their representative capacities, harmless from any liability, loss or damage which may be incurred as a result of claims, demands, costs, or judgments arising out of, connected with, or concerning the issuance, use or existence of the permit. SIGNATURE OF APPLICANT DATE OF APPLICATION FOR OFFICE USE ONLY Permit fee paid - $25 (check # or cash) Receipt Date received: Date of approval: License # Issued: Deposit fee - $100 (check # or cash): (Required if using City property) Condition of location (verified w/Parks) – Date/verified by: Deposit return date: Manner of return/returned by: NOTE: DEPOSIT IS RETURNED UPON CLEANING OF LOCATION SIGN ---PAGE BREAK--- STAFF COMMENTS & APPROVALS CITY ADMINISTRATOR ADMINISTRATIVE SERVICES DIRECTOR CITY CLERK CHIEF OF POLICE PUBLIC WORKS DIRECTOR COMMUNITY DEVELOPMENT/PLANNING DIRECTOR