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HomeMy WebLinkAbout19. 12-382 JULY 24, 2012 12-382 RESOLUTION (CARRIED___7-0___LOST________LAID OVER________WITHDRAWN________) PURPOSE: APPROVAL OF SPECIAL EVENT / BELLA MEDICAL CLINIC / UTILIZE CITY STREETS & SOUTH PARK FOR THEIR WALK FOR LIFE / SEPTEMBER 22, 2012 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Bella Medical Clinic (Phyllis Noll) to utilize city streets and park: South Park Avenue, Georgia Street and South Park on Saturday, September 22, 2012, from 8:30 a.m. to 11:00 a.m. for their Walk for Life 2012 event in accordance with the municipal code and the attached application, with the following exceptions/conditions: A. B. C. BE IT FURTHER RESOLVED that as a condition of approval, the Event Organizer shall pay the City’s actual costs for extraordinary services. Cost Estimates for Extraordinary Services none APPLICATION FOR SPECIAL EVENT PERMIT- TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION Official Name of Special Event: Q CLL rv\f- 1c-P■1.- Cil f\)k C.-[,,- .4N1-1: CDR I- ' Start Date: • ? -A-. a , Q.of a End Date: : 3-�a. , -01 a.. Briefly describe your event. Be sure to include the purpose of the event and all planned activities. . -\A ND ikiPtl ti(n W PAL - a m1Lts c.Rum 1`&1.A. 1 Lk%ii 13.... Sot_. PiNiRK"Tb u-rN-iAtq* i°c r r 11eC4e\ T'o P,�u jp,,. .--\---k...‘1� i s t�csc A Rikto 00._ hnikRiperNo l Apupj 0,U.t,.D 1 K i\M r -vJV RF,.Wi tA2 ST K •ARs I c A ,V tb4,D, EVENT SUN MON TUE WED THUR FRI SAT DATE SETUP TIME lam START TIME g• �'"^ STOP TIME k. te..6 TEAR DOWN -,�_ /CLEAN UP lam COMPLETED Location S Event[ , So - Pi 4�� O KOS+1 i Estimated Attendance (daily & total): 1C) -0.06 Number of Booths: `3 Organization(s) Sponsoring Event: C-- t-1-1-4A 11 ,, 1L(-AL C,U k) 1C_ (including addr sses) t ; `f ' '� jj 2 1 2012 L �S :a s6 i LAl°1 ,.. . .---,-.� °�' l�3 �V- APPLICATION FOR SPECIAL EVENT PERMIT- TO BE RETURNED TO CITY CLERK Primary Contact: 1\.)1>a... Daytime Telephone: 4 a0 l a4 Y S Cell Phone: SAME c�O GV.�n►ti f,t V S -'O V A\S Fax: °lap_ X (.059D,30- a59D, Email: 3rv'o11 1,N4 r.% Address: „as'4,7 OAK g1 E "D City: tvc5.)vA1A State: L') 1 Zip Code: J-1015 Secondary Contac ul-A.L. SpiniO N4u4'R �� ��c 'o t_ikk Daytime Telephone: Sao- , t33 ' Cell Phone: Sr;mg Fax: (=ac)- D-3b- (DSa'a.. Email: L . .Sfxxv,bo,kc,R l.t i3WNK, c ►ten Address: 3?_5, L. LAP 8i-i. St" City: brim State: w l Zip Code: 5 4L3 Onsite Primary Contact: P4-1 Cell phone: crab- by 15- al Fax: Sao- :',r - c, jc Email: No 1 � ('.fin-) Address: o>i eri optvvklpzE ►2O City: State: 't Zip Code: R)-}a510 Onsite Secondary Contact: 14i l e arIJE,40‘c,ce,R. Cell phone: Qt at.)-a b. - Fax: 9 gyp_ - Email:3u\ e. cNe.P.N>t4,AutrAR.ZI)tAF 11/4) bm Address: _ `b City: or Ro State: COI Zip Code: S1-4orb NOTE: Either the primary or secondary onsite contact must be present onsite at all times during the event. 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