HomeMy WebLinkAboutNC State Hog Rally Event APP.tif Mar 18 11 12:00p Hickory Metro CVH 828 - 322 -8983 P.1
:
Sr�E-8 -1i AD320
I
City of Hickory
�� PO Box 398
H ICK
= Hickory, NC 28603
f_
Tlehone
City of Hickory 8 8-323 - 7410
tis n 1.1 in a � i_'` taxi == Special Events/Activities Application Fax 828- 323 -7474
(Must be submitted to Development Assistance Center DA-C.)
SPECIAL EWNT PERMIT* APPLICATION
The purpose of this application is to provide information about your event or activity in order for various departments and
agencies to determine if they need to be involved in the approval and /or permitting process. Depending on the specific event, a
permit application and/or fcc(s) from individual departments may be required.
The applicant is responsible for providing complete and accurate information on the application, including an attached
detailed site plan. The applicant is also responsible for notifying the D.A.C. of any changes. incomplete applications will
not be accepted. * *A complete application should be submitted at least '= des-.., prior to the planned event to allow sufficient
review time. Public officials may contact you with specific questions. Any official may require a pre- planning meeting.
Applications and events are prioritized based on a first come -first served basis and the City may approve or disapprove an event's
requested date based on availability of resources. Events that occur on an annual basis will receive priority the following year.
lF >?te :tictli i.ti is? iJ: ;u I . jtubtir nrgperiv. r::,.ti to s...; rite ,>rr,r. Set' ii3y:41 : -e' i.ttait4tti rq:tt t'i'p
tiir> c`.;r: �n,i3 :csii as runs: he sni nJued q {r ua_ s prior -'al ilrr 'en:-
APPLICANT INFORMATION
Mane of Event: Iv C Rik p- e � LLY
Applicant ?dame:. -- -- aV.�O . - -- - - -... - - - -- - -- -- ---- - - - - -- -- -- — --
Organization: - _ � � ' .: la ( t' l iri j d
1W ifinu. Address: — 3 _ �((t,l �(,►Q t�1 __C4' __ - - .
City° ! State - Zip: - _ t/Vl 8 1 J{Ld*_ T 0 Ze i I --- __ - - --
Da�^,ime Phone: 7PI_ 275-_ 0 _? Cell: 744 _ ZEmail: k.�1•i —� Cy�(ZQt IAJ� r QQ• C$yt�(
Description of the Event: J INAL
-
Does the event have a Twitter. Myspace. hacebook or other social networking pa _--- - - - - --
frees. please list I!RUs): _ ta1 W W' , t lC ss/gxt %4D6 R1xo? • de --A& - - -- -_
Event Address: ' D 1 w li
Date of Event: �-r IS — 70 W) r
/
Event Start Time: Event End Time: r 7 ; C� Al �0� � G
Road C
Set -Up Begins: ( U Clean -Up Ends:
Preferred Date & Time of Ins ction:
Estimated Attendance: 1 860 - Z2BI� ,9 S) '✓
The Event is: V% Private (by invitation only)-; or Open to General Public
Describe the procedures to be used for selecting participants and vendors for this event:
('h�2t1 t Pat'S t2Fc VWbOM - tom.
APPLICANT'S SIGNATURE DATE: ZTh if _
A pre - planning meeting may be required will be scheduled to include the appropriate staff. e vent applicant must attend
the meeting. The city reserves the right to require others to attend.
3
1
f
Will tents /canopies /membrane structures be used for the event'? Yes No (If no
p roceed to next section.)
# of Canopies (fabric structure that is open without sidewalls on 75% or mo a or perimeter) 5 _ Z7 ,
# of Tents (fabric stivctur that is enclosed with sidewalls on more than 25 of perimeter)
# of Membrane structures A (air supported or air inflated structure)
Other type of structure (provi a description)
*Is any individual canopy greater than 400 sq. ft.? Yes No
*Is there any individual canopy or group of canopies open on all sides exceeding 700 sq. ft. without 12
ft. of clear space between all other permanent and temporary structures? Yes No
*Is any individual tent or membrane structure greater than 200 sq. ft. ? — Yes No
*Is there any individual or group of tents or membrane structures 200 q. _ ft. without 12 ft. of clear space
between all other permanent and temporary structures? Yes No
Are there any musical entertainment features related to your event? Yes No (If no
p roceed to next section.)
If yes, state the number of stages, number of bands and type of musi
Number of stages: Number of bands:
Type(s) of music:
Will your event use amplified sound? s No
If yes, pleas e indicate times: Start time: Finish time: - Q
Will sound checks be conducted prior to the event? t V Yes No
If yes, please indicate times: Start time: inish time:
Will the event have any hazardous iiaterials such as propane, butane, gasoline, diesel tanks, helium
cylinders or other upright tanks? Yes No
If yes, all tanks must be secured in a manner to prevent accidentally being knocked over. All
helium tanks not being used shall have their caps in place.
Will there be any portable heaters? Yes No
Will there be any deep fat fryers? Yes No
Will there be any fireworks, lasers, torches, candles or pyrotechnics? J Yes No
If yes, contact the City of Hickory Fire Preve tion office at 828- 323 -7522 for more information.
Will generators or electrical power be used? Yes No