HomeMy WebLinkAbout2018-03-12 Special Events Application for Use of County Roads
183037 RR145, Brooks, AB T1R 1B2 Check us out on social media
Phone: 403-794-2311
Fax: 855-379-2401
Email: enforcement@newellmail.ca
Web: www.countyofnewell.ab.ca
SPECIAL EVENTS PERMIT FOR USE OF COUNTY ROADS
PLEASE COMPLETE THE APPLICATION AND SUBMIT IT NO LESS THAN 5 BUSINESS DAYS BEFORE
AN EVENT, HOWEVER, AS MUCH LEAD TIMES AS POSSIBLE IS SUGGESTED
NAME OF APPLICANT: ___________________________________________________________________
ADDRESS: _____________________________________________________________________________
CITY: ______________________ PROVINCE: _________ POSTAL CODE: ________________________
PHONE #: ________________________________ FAX #: _______________________________________
DAY OF EVENT: _________________________________ HOURS EVENT WILL BE HELD: ___________
INTENDED ROUTE OF EVENT: _____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
APPROX. # OF PERSONS INVOLVED: ______________________________________________________
NATURE AND OBJECT OF EVENT: _________________________________________________________
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_______________________________________________________________________________________
SIGNATURE OF PERSONS WHO WILL BE RESPONSIBLE FOR THE ORDERLY CONDUCT OF THOSE
INVOLVED:
________________________________ ________________________________________
________________________________ ________________________________________
PHONE #: _______________________ PHONE #: ________________________________
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FOR OFFICE USE ONLY
APPLICATION APPROVED: ________ APPLICATION NOT APPROVED: _____________
COMMENTS: ____________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
___________________________ _____________________________________________
DATE DIRECTOR OF MUNICPAL SERVICES
This information is being collected for the purpose of a SPECIAL EVENTS PERMIT pursuant to the provisions of the Municipal Government Act and its regulations and
pursuant to Section 32 (c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of this information, you may
contact the County of Newell FOIP Coordinator at (403) 362-3266.