ClearForms Demo

(Sample) LAPD Special Event Permit

Jun 14, 2017
submission #4
Special Event Information

Event Information

Title/ Name of Event Hack for LA - The Return
Type of event Demonstration/ March
Set Up Date (if applicable) 2017-07-12
Proposed Event Date 2017-07-13
Proposed Assembly Time (indicate if same as start time) 8 AM
Proposed Event Start Time 9 AM
Proposed Event Completion Time 5 PM
Proposed Disbanding Time (indicate if same as completion time) 6 PM
Tear Down Date (if applicable) 2017-07-13
Annual event/ previously held and approved? No
Total event participants 300
Estimated number of spectators 500
Decribe in detail how the event will be conducted, including public notification efforts. If applicable, give number of bands, type of marching units, members in each unit, number and type of sound vehicles, amplication, animals, floats, etc. Amazing technology march, with horses!
Decribe first aid, water, and sanitary provisions planned Lots of water, lots of bathrooms

Event Sponsor and Applicant Information

Name of Sponsoring Organization Hack for LA
Website/ Facebook page hackforla.org
Mailing address 1654 Micheltorena St. Los Angeles, CA 90026
Sponsoring Organization Phone +14155555555
Official of Sponsoring Organization (Last, First, Middle) Corwin, Stephen A
Email address of Sponsoring Organization official ---
Mobile phone of Sponsoring Organization Official ---
Applicant Name (Last, First, Middle) Geanuracos, Catherine G.
Applicant Email ---
Applicant Mobile Phone ---
Is applicant affiliated with or employed by Sponsoring Organization Yes

Event Location, Route and Staffing Details

Describe route to be followed or location of event (include direction and portion of streets or locations requested) Micheltorena St. and Stairs from Effie to 101
Number of officials/ monitors in assembly area 1
Describe assembly/ staging area (List streets or portion thereof, private property or park area to be used, including parking contingencies planned). Indicate if same as event location. my drivewa2y
Number of officials/ monitors along route 10
Describe disbanding area (list streets and/or private property or park area to be used, including cleanup actv The street
Number of officials/ monitors at disbanding area 5
Upload map of event location/ route / staging and disbanding areas RAILS+Grantee+Status+Report-+dynasty.pdf
Council district and police bureau information

Event information

Council office CD13
Police Bureau/ Areas Rampart
Notes/ Comments ---
Conditions and Restrictions Required for Permit

Conditions and Restrictions

Required conditions and restrictions for event No horses.
Date forms signed 2017-06-16
Signed forms RAILS+Grantee+Status+Report+-+apptology.pdf