APPLICATION FOR TEMPORARY USE PERMIT (TUP)
application for temporary use permit (tup) - Village of Saukville
application for temporary use permit (tup) - Village of Saukville
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THE VILLAGE OF639 E. Green Bay Avenue • Saukville, WI 53080 • 262-284-9423 • METRO 262-375-1884 • FAX 262-284-9527<strong>APPLICATION</strong> <strong>FOR</strong> <strong>TEMPORARY</strong> <strong>USE</strong> <strong>PERMIT</strong> (<strong>TUP</strong>)In accordance with Section 205-21 of the Village of Saukville Municipal Code, the undersigned makesapplication to hold a Temporary Use Permit in the Village of Saukville.Event Address: ___________________________________________________Event Date: ____________Type of Event: ____________________________________________________________________________Property Owner: ____________________________________________________________________________________Owner Address: _____________________________________________________________________________________Owner Phone #: __________________________________Applicant/Organization Name: ________________________________________________________________________Applicant Phone #: ________________________________________________E-mail Address: ___________________________________________________REVIEW REQUEST <strong>FOR</strong> <strong>TEMPORARY</strong> <strong>USE</strong> <strong>APPLICATION</strong> <strong>FOR</strong>:____ Portable Signs or Display Uses exceeding 90 days (max. 6 mos. /One sign per business)____ Customer Appreciation/Sales/Fundraising/Other special activities____ Non-Profit Event: Describe ____________________________________________________________________ Carnival/Festival/Animal RidesInclude Site PlanInclude Certificate of Insurance – Proof of Liability InsuranceApproval from Community Development Director required not less than 30 days prior to event.I certify that I am presently the legal owner or authorized agent of the above described property/event. Further, Iacknowledge the filing of this application and certify that all of the information contained within the application istrue and current. I also understand that failure to provide truthful and accurate information or to provide publicnotice as required may result in a delay in processing the application or may cause grounds for revocation of thepermit. In addition, I grant permission to the Village of Saukville to conduct site visits necessary to investigate theproposed project. If the undersigned is different from the legal property owner, a letter of authorization from theproperty owner must accompany this form.____________________________________ _____ ____________________________________ ______________Property Owner Signature Print Name Date_________________________________________ ___________________________________ ______________Applicant Owner Signature Print Name DateVillage of Saukville Use:Reviewed by: InitialPolice Dept. ______DPW______Fire Dept. (copy only)
VILLAGE OF SAUKVILLE<strong>APPLICATION</strong> <strong>FOR</strong> <strong>TEMPORARY</strong> <strong>USE</strong> <strong>PERMIT</strong> (<strong>TUP</strong>)Event Location: ______________________________________ Event Date: ___________________Inclusive dates of activity from: (Include set-up and take-down): _______________to _______________Proposed hours of operation from: ______________to______________Describe proposed activity; please specify all planned activities and structures to be used._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Will a tent or other structure be erected on site? Yes___ No___Will electricity be needed on site? Yes___ No___Will a fence be constructed? Yes___ No___Will food or drink be available on site? Yes___ No___Will alcoholic beverages be available on site? Yes___ No___Will a band or amplified sound be on site? Yes___ No___Will portable toilet facilities be on site? Yes___ No___Is this site located at an existing shopping center orother developed parking lot? Yes___ No___Is this site paved? Yes___ No___Adequate parking shall be available; lighting and noise shall be regulated so as not to create a nuisanceto nearby properties or to the general public.Signatures:____________________________________________________________________Applicant____________________________________________________________________Owner____________________________________________________________________OrganizationDate____________Date____________Date____________Page 2
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