(Sample) Street closure / special event permit
Apr 18, 2017
submission
#2
Describe closure reason and timing
Describe reason and details for street closure
| Date closure requested to begin | 2017-07-12 |
| Time closure requested to begin | 8 AM |
| Date closure requested to end | 7/12/17 |
| Time closure requested to end | 12 PM |
| Describe purpose of street closure | test |
| Address for closure | 101 Main Street, Santa Monica, CA |
| Describe area of closure (e.g. partial street closure southbound lanes between 4th and 5th Street on Broadway). | test test |
| Describe any planned mitigation plans for closure | test test |
| Will an entrance fee be charged (if event) | No |
| Will alcohol be served? | No |
Requesting organization/ person
| Name of requestor | Jane Doe |
| Nonprofit? | No |
| Mobile phone number | +16175551818 |
| Untitled field | sdfsd |