State
State
Date Expire
First Name
Start Date
Address
Phone #
Phone #
Applicant Information
City
# of Days
{[PNAME]}
ZIP
Last Name
City
End Date
ZIP
Organization Information
Address
Email
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://www.ourclark.com
Name
Email
  • Event
  • Certification
Date of Event
Specific Street & Property to be used
Type of Function, i.e. block party or residential party on street parking: Other (explain):

Applicant must provide adequate lighting during hours of darkness, placement of detour signs and suitable barricades wherever required. If function is a block party, applicant must provide a petition signed by neighbors in the immediate area of the function including a signed agreement that NO ALCOHOL will be sold, possessed or consumed on the public thoroughfare.

End Time
Rain Date
Start Time
# of Attendees
Event Information
Type Full Name :
Sign With Hand
ALL APPLICANTS ARE OBLIGATED TO COMPLY WITH NOISE CONTROL ORDINANCE 8:48"
Certification

Required Attachments:

  • Barricade Drawing
  • Petition For Street Closure for a Block Party
-Kindly Note that the applicant is responsible for picking up and dropping off barricades
-Click Here to download, fill and Attach your Street Use Permit Petition of Street Closure

Attachments
Applicant Signature
Email
Address
State
Phone #
City
Chairman Information
ZIP
Officers Information
Last Name
First Name
ZIP
Last Name
Address
Email
Event Coordinator Information
State
Applicant is Event Coordinator
City
Phone #
First Name
Permit Fee
Regular Applicant/Operator 501(C)(3) Organization
Processing Fee: $50 Processing Fee: 0
Event Fee: $750 (3 days) Event Fee: $450 (3 days)
Additional Day: $250 Additional Day: $150
Total Fee
Payment Method