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Greatest number of people expected at one time in tent: Size of tent: x (attach additional pages to include more tents) No Yes Other: Public Assembly Retail Sales Tent 5: Greatest number of people expected at one time in tent: Size of tent: x No Yes Other: Public Assembly Retail Sales Tent 4: Greatest number of people expected at one time in tent: Size of tent: x No Yes Other: Public Assembly Retail Sales Tent 3: Greatest number of people expected at one time in tent: Size of tent: x No Yes Other: Public Assembly Retail Sales Tent 2: Greatest number of people expected at one time in tent: Size of tent: x No Yes Other: Public Assembly Retail Sales Tent 1: Tent has One or More Sides? Tent Will Be Used For: Modesto Fire Department FIRE PREVENTION DIVISION 409 12th Street, Modesto, California 95354 Tel: (209) 571-5553 Fax: (209) 544-1652 TENT PERMIT APPLICATION See Tent Guidelines for more information. Set Up Date: Inspection Time: Take Down Date: Address of Event: Emergency Coordinator: 24-Hr Emergency Phone: Business Owner’s Name: Phone: Business Name: Business Address: Tent Provider: Phone: Applicant’s Name: Phone: • Liquid fuel or propane powered cooking equipment? If yes, a separate permit may be required. • Liquid fuel or propane powered heating equipment? If yes, a separate permit may be required. • Liquid fuel or propane powered generator? If yes, a separate permit may be required. Yes No Yes No Yes No Applicant’s Signature: Date: In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit the City of Modesto website at Revised 6/23/20 SIGN