Type Full Name :
Sign With Hand
Notes
Block Party
Permit Application
Start Date and time of the Block Party
First Name
Address
End Date and Time of Block Party
Please Note: All block parties are subject to approval from the Township Council. Township Council meetings are held the 2nd and 4th Mondays of the month. However, in the months of June, July and August meetings are only held the 3rd Monday of the month.

All block party requests must be received by the Clerk’s office no later than two weeks prior to the Township Council meeting date for which the application has been submitted.

Applicant Information
City
Streets/Blocks to Be Closed (Please list the road to be closed with beginning and ending streets. Ex: Rochelle Dr. from Butternut Ct. to Ariel Dr.)
Phone #
Are barricades needed?
Last Name
Rain Date (if applicable)
Event Information
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
ZIP
Email
Applicant Signature
If so, how many?
State
Please provide details about where the barricades will be located. (Ex: cross street locations)