2. Application For Temporary Road Closure Permit

4. Event Coordinators Name*
6. Contact Number*
7. Email Address*
9. Mailing Address
11. City
12. State
13. Zip
15. Event Name*
17. Date and Hours of Closure*
18. Roadway to be closed*
20. * Please attached a street map of the requested street closure*
22. COMMENTS
24. Applicants Printed Name *
25. Date*
29. Internal Use Only

    1. Approved by Council
    2. Denied by Council

    Council's Decision

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field