Temporary Use Permit Project Location:​ ___________________________​ Specific Address: __________________________ Owner of Property: ​Name: ___________________________________________________________ Address: ___________________________ City: _________________State:​ _________ ​ Zip:​ ________ Phone: ______________ Fax: ____________________ E-Mail Address: _______________________ Applicant:​ Name:​ ________________ ___________________________________________________ Address: ___________________________ City: ________________ State: _________ Zip: ________ Phone:​ ______________ ​ Fax: ____________________ E-Mail Address: _______________________ Contact Person and Information: _________________________________________________________ Date of Event and time: _______________________________________________________________ Description of Event, Use of Property and Products being sold: ___________________________________________________________________________________ Please include with the application: 1. A site Plan layout of property and where event will take place, including area to be used for parking ingress, egress, streets and dimensions. 2. A statement with the proposed activity, include type, duration, hours of operation, etc. Filing Fee: $25 for one four day event, $50 for two four day events. An individual is allowed one Temporary Use Permit per year. A permit is good for two events per calendar year, and each event not exceeding 4 consecutive days. Signature of Applicant: ___________________________________________________ Date: ____________________ Signature or Consent of Owner: ____________________________________________ Date: ____________________ Signature of Zoning Administrator: __________________________________________ Date: ____________________ Insurance Verification [ ] Signature of Recorder’s Office: _________________________ Date: _____________________ Temporary Sales Tax Number: ________________________________________________________________________ Business License Verification: ________________________________________________________________________ Fire Department: _________________________________________________________ Date: ____________________ Signature of Police Department: ____________________________________________ Date: ____________________ Comments: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Signature of Public Works: (If streets are involved) ________________________________Dalte: ______________________ Comments: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________