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Forms
Block Party Application
Leave This Blank:
Name of person hosting party
Application date
Address of host
Email
*
Phone number (home)
Phone number (work)
Party date
Day of week
Time: from
Time: to
Location to be blocked off
Number of houses affected
Is party associated with National Night Out?
Yes
No
Does block party applicant have any knowledge of any potential political activity that may take place at the proposed block party?
Yes
No
Description of area (check all that apply)
Single Family
Multi-family
Duplex
Front Entry Garages
Rear Entry Garages
Through Street
Dead End
Cul-de-Sac
Download Block Party Resident Approval page for signatures.
Signature page for Block Party Resident Approval
Attach copy of Block Party Resident's Approval with signatures.
Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)
Download Block Party Application to include diagram.
Block Party Application with Diagram
Attach a diagram of streets and locations where barricades are requested.
Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)
For office use only.
Approved by
Date
Notifications:
Patrol Supervisor
Fire Chief
Public Works Director
We will contact you as soon as your application has been reviewed. Please ensure all questions have been answered. Thank you.
* indicates required fields.
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