This document outlines the application process for obtaining a block party permit from Cinnaminson Township. The application requires the applicant to provide details such as the location and date of the proposed street closing, a rain date, time of closing, contact information, and an explanation of the planned activity. Applicants must also include a sketch of the area, a list of affected residents with their signatures, and agree to hold the Township harmless from any liabilities arising from the event.
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Document Text
--- Document: Apply for a Block Party Application Document ---
CINNAMINSON TOWNSHIP
APPLICATION FOR BLOCK PARTY PERMIT
Location of Street Closing Request:
Date of Closing:
Rain Date:
Time of Closing
(max 8a to 10p)
APPLICANT PRIMATE CONTACT INFORMATION: (if more than one contact person, provide information for
each person at the end of application)
Name:
Address:
Telephone:
Cell Phone:
Explanation of Activity:
BLOCK PARTY DETAILS
Will there be any temporary structures, rides, etc. in roadways:
Yes
No
Anticipated number of participants:
Will alcohol be permitted:
Yes
No
If yes, identify location and access limitations on required sketch
Method of Closing Street:
NOTE: A sketch must be provided, showing houses (with numbers), barricades, cooking facilities, alcohol
serving locations and temporary obstructions, etc.
Attach a listing of names and addresses of all individuals directly affected by the closure area including signature
of at least one property owner for each address identified acknowledging closure. (see attached sheet)
I, _________________________________ as applicant for this permit, acknowledge that (1) no motor vehicles
will be permitted during the block party except for vehicles used in connection with the block party, municipal
vehicles and emergency vehicles; (2) that the street will not be obstructed for emergency vehicles; and (3) that
the roadway will be free of litter and debris at the conclusion of the event.
I further acknowledge and agree to save and hold the Township of Cinnaminson harmless of and from any
and all obligations and liabilities which may arise from the temporary street closing which represents the
subject matter of the application. I further agree that as part of these provisions to hold harmless the
Township and to defend at his/her own cost and expense any claims or lawsuits instituted by
participants, spectators or other third patties, which obligations or liabilities might otherwise exist or be
assessed against the Township
______________________________________
_________________________
Signature
Date
CINNAMINSON TOWNSHIP
Block Party Street Listing
I hereby acknowledge that an application has been submitted for block party permit for
____________ (date) to temporarily close _________________________________________________(street)
from _________ to _________ with a rain date of ____________________. I further acknowledge that I will not
be permitted to utilize the street for use of any motor vehicles.
Name
Address
Signature
CINNAMINSON TOWNSHIP
FOR OFFICIAL USE ONLY
Date Application was received
POLICE DEPARTMENT
Cinnaminson PD Reviewed by:
Date:
Submission deemed acceptable:
YES
NO
Reason for rejection
TOWNSHIP BUILDING
Township Admin. Reviewed by:
Date:
Submission deemed acceptable:
YES
NO
Reason for rejection
DEPARMENT OF PUBLIC WORKS
Township Admin. Reviewed by:
Date:
Submission deemed acceptable:
YES
NO
Reason for rejection
Notification to Applicant
Method of Notification
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