Special Event, Jazz for Justice

DEPARTMENT OF PUBLIC WORKS APPROVED □ DENIED

approved by DPW Authorized Personnel Signature

Will this event require the use of any of the following municipal equipment:

□ TRASH RECEPTACLESQUANTITY_____ �RAFFIC CONES - QUANTITY

POLICE DEPARTMENT! APPROVED

□ DENIED

v:s

D No

�ARRICADES - QUANTITY

□ PARKING SIGNS - QUANTITY

□ WATER □ FENCING □ RESTROOM CLEANING □ ELECTRIC □ OTHER---------------------------------

ADDITIONAL OFFICERS REQUIRED? □ Yes

approved by Sgt. Haas Authorized Personnel Signature

□ No

If yes please describe & include times________________________

Other (describe): _________________

SAUGATUCK TOWNSHIP FIRE DISTRICT APPROVED □ DENIED

STREET CLOSURES:

approved by Chief Janik Authorized Personnel Signature

D No (use attached map to outline proposed closures)

Yes

Street closure date/time: J/4r,-c

ckJt16

Street re-open date/time: vJ� t:?a46,

SIDEWALK CLOSURES: g{'Yes

Describe Sidewalk Use:

� Cf/A-,1M

Sidewalk re-open date/time:

0: (jC, □ A.M. mP.M. 'l: oo □ A.M. ID.M.

D No (use attached map to outline proposed closures)

Sidewalk closure date/time: uVU/leo?CISl.b PARKING LOT CLOSURES: □ Yes

____________

J v¼'� �O�

J,-oo □ A.M. -� _____ l.frP.M. 7; 0 V □ A.M. ID.M.

DrNo (use attached map to outline proposed closures)

Parking Lot Location:___________________________

Sidewalk closure date/time: --------

Sidewalk re-open date/time: ________

□ A.M. □ P.M. -----□ A.M. □ P.M.

What parking arrangements are proposed to accommodate potential attendance:-------