Form: special-event-license-application

Application is for events held open to the general public.

Application must be filed at least 30 Days

Organization Sponsoring Event

Address of Event Location

City

State/Province

Zip/Postal

Address of Event Location

Organization Agent/Manager

Phone

Event Name

Event Date

Start Time

End Time

Event Details (explanation of event):

Will the event be held outside?

Yes

Will tents need to be erected?

Yes

Upload picture of site plan or layout of event

Maximum file size: 52.43MB

Will a generator be used for electrical supply?

Yes

Will there be sufficient restroom facilities available? (including business restrooms, port-o-lets, etc.)

Yes

Will there be live entertainment?

Yes

Start Time

End Time

Will there be sufficient access for persons with disabilities?

Yes

Will the event include vendor sales?

Yes

Will there be alcohol sold, served, and/or consumed within the event area? (If so, barricading or bracelets will be required.)

Yes

Will all parking be on-site?

Yes

If no, where?

Will there be food for sale that is cooked onsite? (Winnebago County Health Department approval will be required)

Yes

Will food be catered in?

Yes

Will there be a mobile food vendor or vendors present?

Yes

If yes, how many food trucks?

Is this event being advertised or marketed on a regional basis? (radio, TV, newspaper, flyers, etc.)

Yes

Licensee Name

First

Last

Licensee Date of Birth

Licensee Phone

Licensee Email

Licensee Address

Street Address

Licensee Address

City

State/Province

Zip/Postal

Licensee Address

Fees: $150.00 application fee (for any event lasting up to 48 hours, each day thereafter will be an additional $25.00)

$150.00 escrow deposit (if escrow funds are not used, they will be returned within 30 days post event)

$25.00 re-inspection fee, if needed. (Call 24 hours in advance to schedule inspection.)

Under the provisions of Chapter 150 of the Village of Fox Crossing Municipal Code, I hereby apply for a Special Event License for business to be conducted on the above referenced premises within the Village. I certify that the following information is true to the best of my knowledge.

Signature

Clear

Date

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