Street Closure Application - City of Hailey

STREET CLOSURE FOR SPECIAL EVENT
EVENT NAME: _______________________________________________________________________________
The above listed event received a street closure permit for a community event.
STREET CLOSURE DATES:
Route/street closure is map is attached.
Names of streets to be closed (attach further closures on a separate sheet if needed)
Between (street)
And (street)
Between (street)
And (street)
Between (street)
And (street)
Between (street)
And (street)
Between (street)
And (street)
Between (street)
And (street)
Between (street)
And (street)
Time of Street Closure Start: End:
Participant type and number of entries of each type (check all that apply):
Participants/Spectators Animals Vehicles Floats Busses Bikes .
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OFFICE USE ONLY:
Date Received .
On time: Late:
STREET CLOSURE FOR SPECIAL EVENT
Notification Certification
To be submitted to the City Special Events Administrator by Event Organizer at least 30 days prior to the event.
EVENT NAME: _______________________________________________________________________________
The above listed event received a street closure permit for a community event.
STREET CLOSURE DATES:
STREET CLOSURE TIMES:
I certify that the entities listed below have been notified about my upcoming special event.
Signature of Sponsor or Authorized
Representative
Date
Name/Business Address Phone Email
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