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Event Location* <br /> List end points of each street that will be closed(e.g.6th Street from O 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 /> Commercial Avenue, 10th Street-1st Street <br /> Side Streets between O Avenue and Q Avenue <br /> Parking Location <br /> List any public parking areas that the event requests to use for dedicated event parking,including handicapped parking. <br /> We would like to use any available city parking lots for handicapped parking. <br /> Event Map(optional) Indemnification Agreement* <br /> Upload one or more maps of the event Upload scan of SIGNED indemnification agreement <br /> streetmap detail Admin.pdf 337.22KB City Idemnification.pdf 376.42KB <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 /> Admin Review ^ <br /> ...................................................................................................................................................................................................................................................................................................................................... <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 /> 6/20/2022 6/13/2022 <br /> Administrator comments and conditions of approval <br /> Insurance Certificate <br /> Insurance certificate may be required by staff or as a condition of Council approval <br /> Departmental Review <br /> ........................................................................................................................................................................................................................................................................................... <br />