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CITY OF EAGLE 660 East Civic Lane Eagle, Idaho 83616 (208) 939-6813 TEMPORARY USE APPLICATION - SPECIAL EVENT Page 1 of 3 THIS APPLICATION SHALL NOT BE CONSIDERED COMPLETE UNTIL STAFF HAS RECEIVED ALL REQUIRED INFORMATION. Organizer: Date Complete Application Received: Staff Initials: . APPLICATION REQUIREMENTS Organizer Staff Completed application received 30 days before event Schedule of events Special Event application fee - $50.00 Proof of insurance policy ($500,000) naming the City as additional insured Proof of Central District Health approval/permit for each vendor serving food Detailed site plan detailing vendor placement, details and proposed sign location. Signage shall conform to the requirements of section 3-4-11(F) Completed Action Plan (a sample Action Plan can be provided digitally) Affidavit or written permission from land owner granting permission to Organizers seeking to utilize private property, including but not limited to parking lots, landscaped areas, plazas, or open space Alcohol permits - Contact the City Clerk’s Office if applicable ---PAGE BREAK--- CITY OF EAGLE 660 East Civic Lane Eagle, Idaho 83616 (208) 939-6813 TEMPORARY USE APPLICATION - SPECIAL EVENT Page 2 of 3 ORGANIZER INFORMATION____ Organizer Name: Phone: Person in Charge Day of Event: Phone: Organizer Mailing Address: Organizer E-Mail Address: Organizer Tax Identification Number: List persons, employees, vendors who will operate under this permit (attach additional sheet if necessary): EVENT Name of event: Dates and times of event: Address/location of event: Estimated attendance: Describe Event: Will alcohol beverages be sold? Yes No (if so, additional permitting shall be required) The Organizer shall be required to complete an action plan. The action plan shall include the following information: □ Structures to be used □ Traffic control measures □ Parking areas (include on site plan) □ Emergency communication and evacuation plan □ Security measures □ Crowd control measures □ Recycle and waste management ---PAGE BREAK--- CITY OF EAGLE 660 East Civic Lane Eagle, Idaho 83616 (208) 939-6813 TEMPORARY USE APPLICATION - SPECIAL EVENT Page 3 of 3 PROOF OF INSURANCE Every Organizer applying for a Special Event permit shall provide proof of an insurance policy, issued by an insurance company licensed to do business in Idaho, protecting the applicant and/or any employees and/or agents thereof from all claims for damages to property and bodily injury, including death, which may arise from operations under or in connection with the special event. Such insurance shall name the city as additional insured, and shall provide that the policy shall not terminate or be canceled prior to the expiration date without thirty (30) days’ advance written notice to the city. Such insurance shall afford minimum limits of five hundred thousand dollars ($500,000.00) per person bodily injury, five hundred thousand dollars ($500,000.00) per occurrence bodily injury, and five hundred thousand ($500,000.00) per occurrence property damage. Permit Fee: $50.00 INDEMINITY AND CERTIFICATION: I hereby agree to indemnify, save and hold harmless, and defend the City of Eagle from the expenses of and against any and all suits, actions, claims, and/or losses of every kin, nature, and description, including costs, expenses, and attorney fees that may be incurred by reason of any act, omission, neglect, or misconduct of myself, the organizers or operators of, and/or any and all participants in the use(s), activities, or events described or depicted in this application. I hereby certify that damage to the properties, locations, and/or routes at or upon which the use(s), activities, or events described or depicted in this application is not foreseeable, and agree that, if damage occurs, I alone shall incur any and all costs of restoring such properties, locations, and/or routes to their original condition. Signature of Organizer: Date: Print Name: STAFF USE ONLY Receipt # Total Fees: EPD Recommendation: Issue Date: Date Forwarded to P&Z: Denial Date: