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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: _________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ SIGNATURE OF PERSONS WHO WILL BE RESPONSIBLE FOR THE ORDERLY CONDUCT OF THOSE INVOLVED: ________________________________ ________________________________________ ________________________________ ________________________________________ PHONE #: _______________________ PHONE #: ________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------ 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.