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Event Location* <br /> List end points of each street that will be closed(e.g.6th Street from 0 Ave to Q Ave).Also include location and dimensions of any structures that will be <br /> erected and locations of the event that will not be on city street right of way. <br /> Washington Park.The road out of skyline and first right will be closed for the time period that runners are on the <br /> road.The kids race generally takes less than 15 minutes.Traffic is opened between races.The 5k has the roads <br /> closed between 10-10:20 am.There are alternate routes around the sections in question detailed in our traffic <br /> plan and volunteer plan <br /> Parking Location <br /> List any public parking areas that the event requests to use for dedicated event parking,including handicapped parking. <br /> Within WA park. <br /> Event Map(optional) Indemnification Agreement* <br /> Upload one or more maps of the event Upload scan of SIGNED indemnification agreement <br /> Race Plan.PNG 1.18MB Indemnification Agreement <br /> 287.78KB <br /> 2022.pdf <br /> Download the Indemnification Agreement here. <br /> Signage <br /> Street closure signs will be provided by the City of Anacortes. Applicants must contact City staff one week <br /> prior to the event to arrange sign delivery. Event sponsor personnel are responsible for placing street <br /> closure signs, which may not be posted more that 48 hours prior to the approved closure, must be <br /> removed immediately following the event, and must be returned to city staff the first business day following <br /> the event. <br /> Insurance <br /> The applicant may be required to provide public liability insurance subject to the provisions of AMC <br /> 7.04.100. Applicants will be notified following application approval of insurance requirements for the <br /> specific event. <br /> Electronic Signature Agreement <br /> By checking the "I agree" box below, you agree and acknowledge that 1)your application will not be signed <br /> in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your <br /> electronic signature to be valid and binding upon you to the same force and effect as a handwritten <br /> signature, and 3)you may still be required to provide a traditional signature at a later date. <br /> I state that I am over the age of 18,that I agree to assume responsibility for the above-described event and to <br /> abide by all conditions stipulated by the approval of the application.* <br /> Yes <br /> Signature <br /> eZe-Irted 5� <br /> Admin Review <br /> Council Meeting Date* Staff Review Deadline* <br /> Target date for presentation to City Council;no later than 30 days Staff review/approval required no later than 7 days prior to City <br /> prior to event Council meeting to allow packet preparation <br /> 5/16/2022 5/9/2022 <br /> Administrator comments and conditions of approval <br /> Annual event on a Sunday in September. <br /> Insurance Certificate <br /> Insurance certificate may be required by staff or as a condition of Council approval <br />