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16. 16-37
JANUARY 26, 2016 16-37 RESOLUTION (CARRIED___6-0_____LOST________LAID OVER________WITHDRAWN________) PURPOSE: APPROVE SPECIAL EVENT / NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) & COMMUNITY FOR HOPE / UTILIZE CITY STREETS FOR THE OSHKOSH 5K FOR MENTAL HEALTH AND SUICIDE AWARENESS / APRIL 30, 2016 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to NAMI Oshkosh & Community for Hope (Nicole Kellerman) to utilize city streets: route – Oshkosh North High School on Smith Avenue, Wisconsin, W New York, Algoma, Congress, Elmwood/Vinland, W Linwood, Ontario, W Smith, on Saturday, April 30, 2016, from 7:30 a.m. to 11:00 a.m., for the Oshkosh 5K for Mental Health and Suicide Awareness, 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 Police Department – OPD Cones / No Parking Signs ($50.00 - preliminary estimate) Street Department -- Barricades / Signs ($300.00 - preliminary estimate) AI'PLICATIOV FOR SFECIAL �VE�IT PERVIIT - TO BE RETURN�D TO CITY CLERK GENERAL EVENT INFORMATION ,;���` �'���� � ����;, � ;:-��-: O�cialName ofSpacialEvent; , osH i� a s�► __ 5 K ~F� �mEr�� � �� .�� ,��,���Gd� �� �ane�s Stazt Date; 0� I 3 D/ 1 t�, End Date: O� 1 3p/ y� Briefly dascribe your event, Be s�u•e to include tEZe purposa ofthe event and a description of allplanned activities, a ��� �' � ' � ; ' � ��'. S. ��f , �_ --` � �'--- _�_-----t L ..! Af ..�..L � ! � ." .1�i! . - � �� a! �� . .4 i.nr � f ! . : s� + • r• . .�' ,� !�, � . s' .. i � 9 i � '� s�1.1 s� L!• � il i_ �. �� � •�' I I � . ♦ - , S• �l � ., i 1 I I r I � �l,�� . .� � �L. � La# ` �! . .riss, , � � � � • � ' � ����� � ' ������.�� . a_ r�,.� S TART TIME STOP TIN3E TEAA DO WN/ CLEAN UP COME' LET�D 1 pm �� Loca#ion of�ve��tr ��zo s H_ nb�zn-� ►--t� c� 1-�- sc�-�r�n��� , E c�r�.s..m 1��lo�E_ r,�_�,�,�,,,_.E�. � r5�t 0 l Lis# s#reets that ���ay �e c(osed or otherrvise affected by your event; • v�/���c.ot-�a{n w,NQ�`�c�ri�. ��1cnr�, C�anr.�r�e��� �I,�t�1oo�J v - - � p�°- .� x . . � ����� �J�n�af�d�` � ��u�Q��, On�aY�c�, vJ.����-�r'�4�� I�1�T' a11 sTY`.e2-�sua11� �.t�u��� l.�x�e,1 Es#imated At�endance (daily &fotal}; �D00 � �IC]O Nutnber ofT3ooths: �p � ��'j � Organization{s} Sponsoring Event: �1�.m� ._o.��-�kus� : 5a� �. r�n�n.s�rin��-KOSN u�1 ��tG01 {includiEig add�•esses) � •� �� ...� � " �� ' ` r; • �► � ' I�r r ' � � � Please checktUis box ifyo��r organizatian is taY-eYetnpt and pro�+ide proofof taY eYempt stati►s with #kiis applicat�an. Prnnary Contact: Daytiine TelepEio�ie; Ceil Plione: PaY: Ema iI: Address: City; �1PPL�CATION FOR SPECIAL EVENT PERMIT � TO BE RETUR�IED TO CTI'Y CLERK i�lt C �O L1= � K� 1_l .�'R YY) Y�-Yl _ - - -- — � ^ q�o � ao� � o aa o , - --- - _- - - aao � ac�3 .o��o .__.� 1�� rr��►�►���s���i�rr�i� ��� �•�.,.�� � � � � � � � S�condary Contact; � � Daytuzie Telephone; _ • �J `%J � agG'? Ce1lPhone: q {� � 5`�3. ag�� Fas: "°-�-" . Einail; �PXIC�e �t � ?l�'.lX�ScQn - Aaa���ss: �5 �1 �'� � Gt,rn i t�s Ciry: ��(ytL,� � l!L _ S tate : ____�� zi�, codo : Gj.q�C,� �2� Onsite Priraary Co�ttact: j�4i�L�1.___�j.�P�(' � ce« �kion�: qrdb • a0� • 0`�o`�Z� I'a�: �� " Em a il: V71X,L�.1 l�� S�YY�(�,, Address: _�5�� mX-Yj�i S� Gity; , OSY��.C� S�'1 Sta#e s:s���i��z�sa�.. . ■. � ..- 1 + i Ons€ie 5econdary Ca�tact: RP�L��'. c�11�lYZ�i�1'� _ Cell Pl�ane: , �`c�{"}' S`��' a�� - ___ _ Fax: Emai�: St �'�,X}Sc�n_rd � ����2c�h , �P'�-1t ,� Aaa�•�5s; � . �1. i�C�l'�j ��' �,'n�-1 OS,I�K.��. , City: 0�'1K,��'] _. state: ll.`�, .Zip Code: ."��'`��(�l NOTE: �ithar tl►e.pr'vnary or sacondary onsite contact must be p3�esent onsite at aIl times dciring ihe e�ent. � � :' � � u F* r co *'' Gl C � � ar ro r� �' � � m ,, ` � � $ \ �t '•� �1 N µ `\ 1"� }�. �ti� � p ~ `�v t�J�� W ��ti, N � � � ?� --` b ti 07 � �� � � � c�s, � �ti ° ` u�i � fii c� tD � ` n A�-� f° �j, `� � a,, � i _ `° N m � � �•`=' w ` '•.5 N� ��a Q � ` N � � � � � � w ` '-• �� . 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