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WOODBURN PUBLIC WORKS DEPARTMENT 190 Garfield Street, Woodburn, Oregon 97071 Phone: (503) 982-5240 FAX: (503) 982-5242 APPLICATION FOR STREET CLOSURE DATE OF APPLICATION: APPLICANT: (business, group or individual) PERSON RESPONSIBLE: ADDRESS: (of responsible individual) TELEPHONE: DATE(S) OF PROPOSED STREET CLOSURE: FROM TO: TIME OF STREET CLOSURE: FROM TO: PURPOSE OF STREET CLOSURE: LOCATION OF STREET CLOSURE: STREET: BETWEEN AND: (Signature of Applicant) CONDITIONS: Street Closure Permit must be carried upon the person in charge or control of the event and at the location of the street closure. Permittee shall comply with all permit directions and conditions, and with all applicable laws and ordinances. Permittee shall also provide a detailed traffic control plan prior to permit issuance. The street closure shall not extend beyond the dates and times specified on the permit. 08/06/2024 08/06/2024 41st ANNUAL NATIONAL NIGHT OUT EVENT SIGN