(Sample) Street closure / special event permit
Apr 18, 2017
submission
#4
Describe closure reason and timing
Describe reason and details for street closure
| Date closure requested to begin | 2017-06-15 |
| Time closure requested to begin | 12 PM |
| Date closure requested to end | 6/15/17 |
| Time closure requested to end | 3 PM |
| Describe purpose of street closure | sdfd |
| Address for closure | 701 Boylston Street Boston MA |
| Describe area of closure (e.g. partial street closure southbound lanes between 4th and 5th Street on Broadway). | partial street closure |
| Describe any planned mitigation plans for closure | none |
| Will an entrance fee be charged (if event) | No |
| Will alcohol be served? | Yes |
Requesting organization/ person
| Name of requestor | Jane Doe |
| Organization name | Sample Organization |
| Nonprofit? | Yes |
| Mobile phone number | +16175557722 |
| Untitled field | ssfsd |