Type Full Name :
Sign With Hand
Your Town
www.yourtown.us
:
Regulations
Event Information
As per statute N.J.S.A 2C: 28-3. et al. I attest that all of the information contained in this application is truthful and factual, and that failure to provide accurate information is grounds for denial of this permit and prosecution as allowed by law.
:
Application for Block Party
* Indicates required field
Unit #
Finish Time
Applicant Signature
The applicant is responsible for the volume of any music, records, tapes, or live broadcasts at the event. Upon request from the Police Department, the applicant will adjust the volume.
In the event the volume cannot be adjusted, the sound system will be disconnected, or the band will stop performing.
If the Chief of Police determines that one or more officers will be required to be in attendance at the event, the applicant will be responsible for additional fees for their services.
(555) 555-5555
How many Properties are on the Closed Block(s)?
Organization Name
Street Location (including cross streets)
Documents can be attached to this application in the window below by clicking on the "Select Files" button.
If you have applied for a Special Permit for Social Affairs, a copy of the permit must be submitted with this application.
Event Description
If "Yes", the a copy of the permit must be submitted with this application. A copy can be attached to this application in the window below. Alternatively a copy must be brought in person to the Clerk's Office.
Will alcohol be served, sold, dispensed or consumed at the event?
Applicant Information
Required Documents
First Name
Certification
Telephone #
If the event is to be held on Your Town property or in the public parks, permission must be obtained in writing from the Recreation Department, and a copy of the approved Recreation Department Permit must be submitted with this application
Your Town, USA 00000
Email
Start Time
How many Attendees are expected? (roughly)
123 Main Ave
Last Name
Have you applied for a "Special Permit for Social Affairs" pursuant to N.J.S.A Title 33, CL?
Date of Event
By signing below, I hereby certify and affirm that I am a bona fide resident, who is at least 18 years of age, of the neighborhood conducting the Block Party, and that a majority of the residents on any street or block(s) for the proposed Block Party have been notified and approved of the proposed Block Party.
If the event is to be held on Your Town property or in the public parks, permission must be obtained in writing from the Recreation Department, and a copy of the approved Recreation Department Permit must be submitted with this application. A copy can be attached to this application in the window below. Alternatively a copy must be brought in person to the Clerk's Office.
Address