Special Events Affidavit Form

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Special Events Affidavit Form

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Event Name

Layout

Date of Request

Permit #

Layout

From

Event Location/ Property Address

Address Line 1

Address Line 2

City

State

Zip Code

Layout

Set-Up Date

Breakdown Date

Temporary Structures Installation (Select One)

Other

Name of Vendor and/or Qualifier (Licensed entity pulling the permit) *

Layout

Contact Person *

Phone

Email *

Special Events Affidavit Form

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Special Events Affidavit Form

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