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Application for Block Party Permit

2. Application Date
   Application Date

4. First Name

5. Last Name

7. Address1

9. Address2

11. City

12. State

13. Zip

15. Phone

19. Date of Party
    Date of Party

20. Hours of Party
    Hours of Party Start Time

    —

    Hours of Party End Time

    There is a loud noise restriction after 9 p.m.

22. Closed Street Location

26. Upon approval by the city, the following items need to be taken care of by the applicant:

28. 1. Inform the following of the date and time of the party and the street(s) being closed:
    Carver County Sheriff's Dispatch: 952-361-1231<BR>Ridgeview Medical Center: 952-442-2191<br>Waconia Fire Department: 952-442-2316

    Carver County Sheriff's Dispatch: 952-361-1231
    Ridgeview Medical Center: 952-442-2191
    Waconia Fire Department: 952-442-2316

30. 2. The street does need to be barricaded. Barricades may be obtained from Public Services between the hours of 7 a.m. – 3 p.m., Monday through Friday.
    A $100 deposit is required. The deposit will be refunded upon return of all barricades in good condition within 72 hours from the date of the event. Public Services can be reached at 952-442-2615.

    A $100 deposit is required. The deposit will be refunded upon return of all barricades in good condition within 72 hours from the date of the event. Public Services can be reached at 952-442-2615.

32. 3. Street must remain accessible to emergency vehicles at all times.

34. 4. Additionally:
    No stakes or penetration may be made through the asphalt.<BR> Barricades that can easily be removed must be used.<BR> No penetration by stakes, poles, posts in or behind boulevard without first checking with Gopher State One. 651 454-0002<BR> All garbage and debris must be disposed of properly.<BR> No disposal of anything in storm sewers.<BR> Any marking on the street can be done in chalk or washable material. No paint or permanent markings may be used.

    No stakes or penetration may be made through the asphalt.
    Barricades that can easily be removed must be used.
    No penetration by stakes, poles, posts in or behind boulevard without first checking with Gopher State One. 651 454-0002
    All garbage and debris must be disposed of properly.
    No disposal of anything in storm sewers.
    Any marking on the street can be done in chalk or washable material. No paint or permanent markings may be used.

38. Application Signature

40. If you have any questions, please contact City Hall 952-442-2184.

    If you have any questions, please contact City Hall 952-442-2184.

42. Approval Signature

44. Approval Date
    Approval Date

45. 1. Copy to Public Services

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

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