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2. APPLICATION FOR ADMINISTRATIVE SPECIAL EVENT PERMIT

   The Administrative Special Event Permit Application (as per Municipal Code 17.32.010) MUST be completed and submitted to the Parks and Recreation Department no less than 30-days prior to your event. Applications not submitted within the timeframe may not be granted approval. Please refer to the Special Event Permit Manual for information on completing the application or planning your event. This application DOES NOT constitute a valid permit until approved by the Parks and Recreation Department and/or the Town Council.

4. Event Name*
5. Event Date(s)*
7. APPLICANT CONTACT DETAILS
9. Date of Application*
10. Name of Applicant or Agent (Corporate Name)*
12. Applicant Email Address*
13. Phone #*
15. Non-Profit ID Number (if applicable)
17. Mailing Address
19. Street or PO Box*
21. City*
22. State*
23. Zip*
27. CHECK ALL THAT APPLY TO YOUR SPECIAL EVENT*

    1. Traffic control required
    2. Equipment/vehicle staging on-site or off-site
    3. Use of Town of Mammoth Lakes streets or right-of-ways (closures, cones, MLPD, etc)
    4. On street and/or venue parking
    5. Police, Fire or other municipal agency participation
    6. Over 250 attendees at one time
    7. Sales events, sidewalk sales, parking lot sales
    8. Tents and/or semi-permanent structures utilized
    9. Alcohol and/or food service
    10. 12-24 hour event duration with single or multiple event sites
    11. Adjacent to residential property
    12. Use of amplified music and/or entertainment
    13. Waste/recycling collection
    14. Wildlife Management
31. EVENT OVERVIEW
33. Name & Physical Address of Event*
35. Event Website Address (if applicable)
37. Days of Operation*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
38. Hours of Operation*
    Please list operating hours for EACH day
40. Admission*

    1. FREE
    2. Donation
    3. Daily Fee
    4. Multi-Day Fee
41. If daily fee or multi-day fee applies, please list the fees here
43. Location(s)*
45. Expected Attendance
47. Per Day*
48. At One Time*
50. Set-up/Assembly
52. Date*
53. Start Time*
55. Break Down/Dismantle
57. Date*
58. Completion Time*
60. On Site Coordinator Name*
61. Cell #*
63. Power Requirements
65. Purpose*
67. Source*
69. Lighting
71. Type(s)*
73. Identified on Site Plan?*

    1. Yes

    1. No
75. Amplification*

    1. Pre-Recorded Music
    2. Live Music
    3. Speeches
    4. Dancing/DJ
    5. None
77. Business Tax Certificate

    Please insert your current Town of Mammoth Lakes Business Tax Certificate number. 

79. If you do not have a current Business Tax Certificate, please contact the Town of Mammoth Lakes Finance Department to obtain a Business Tax Certificate.

81. Special Event Banner*

    1. Yes
    2. No

    Banner requests are subject to review and approval by the Town. Please review the NEW  Community Banner Program and required submittals. 

82. Special Event Banner Set Up
    Special Event Banner Set Up
84. Special Event Banner Take Down
    Special Event Banner Take Down
86. Banner Waiver
    I certify that the Event will comply with the Town of Mammoth Lakes ordinances and conditions of approval relative to this Temporary Sign Permit; that the Event take full responsibility for seeing that the temporary sign is in full adherence and compliance with these ordinances and conditions; that the Event will indemnify, defend and hold harmless the Town, its officials, officers, employees, volunteers, and agents from any and all claims for damages, death, personal injury or property damage arising out of, related to, or in any way connected with the temporary sign. I HAVE READ THIS WAIVER AND RELEASE CAREFULLY. I UNDERSTAND AND VOLUNTARILY ASSUME THE RISKS INVOLVED. I WARRANT AND REPRESENT THAT I HAVE THE AUTHORITY TO ACT ON BEHALF OF THE ORGANIZATION OR BUSINESS AS SET FORTH HEREIN.
88. Signature
89. Date & Time
    Date & Time

    Date & Time
91. EVENT DESCRIPTION
    Use the "Browse" buttons below to attach your event operating plan and site plan. Plan should include a detailed site map, event schedule, location(s), times, entertainment, staffing plan, traffic/parking/transit plan, emergency/medical plan, wildlife/trash management, marketing, and other pertinent event information. The Parks & Recreation Department has created a document to assist you with creating your operating plan. Please follow the link below, fill out the document entirely, save to your computer and attach to this application.
93. Event Operation Plan & Site Plan
    Click here to download Event Operation Plan & Site Plan Form
95. Operating Plan
    Due 30 days prior to your event.
96. Site Plan
    Due 30 days prior to your event.
98. Special Event Equipment Use Application
    Special Event Equipment Use Application

    Please follow the link and complete the form at least 30 days prior to your event. The link to this form can also be found on the Special Event Permit Process homepage. The Equipment Use Application also requires the submission of a $250 damage deposit. Please read application form for more information on deposit and use regulations.
102. SUPPORTING DOCUMENTS

     The following supporting documents are due to the Parks & Recreation Department at least 7 days prior to your event. Please check the box next to any documents that you have already submitted or would like to attach to this application (file upload option available below). For any documents you are not able to attach at this time, please email copies to Stuart Brown (sbrown@townofmammothlakes.ca.gov) or drop a hard copy at the Town offices above Giovanni's. Supporting documents must be submitted AT LEAST 7 days prior to your event. Failure to do so may result in denial of your permit request.

     You may also pay your special event permit fee online once you have submitted this form. Staff will send you a link for payment once the form has been received by the Town. 

     1. Regular Event Permit Fee - $230
     2. Premium (Temporary Road Closure) Permit Fee - $500
     3. Property Owner Notification Information and/or Paid Advertising Plan
     4. Property Owner and/or Agency Approval Letters/Permits
     5. Insurance Certificates (naming the Town of Mammoth Lakes as an Additional Insured, plus an additional Insurance Endorsement)
     6. ABC License (if applicable)
     7. Mono County Environmental Health Department Permit(s) (if applicable)
     8. Wildlife Management Event Vendor Recommendations Form (see below for copy of form)
104. Wildlife Management Event Vendor Recommendation Form
     Click here to download form.
106. Property Owner Notification Information and/or Paid Advertising Plan
107. Property Owner Notification Information and/or Paid Advertising Plan
109. Agency Approval Letters/Permits
110. Agency Approval Letters/Permits
112. Insurance Certificates/Insurance Endorsement
113. Insurance Certificates/Insurance Endorsement
115. ABC License
117. Mono County Environmental Health Department Permit
118. Mono County Environmental Health Department Permit
120. Wildlife Management Event Vendor Recommendation Form
121. Other Supporting Documentation
123. Other Supporting Documentation
127. ACKNOWLEDGEMENT *

     I understand that this application is a request only, and approval is only granted once all applicable forms/supporting documentation has been submitted to the Parks & Recreation Department. Failure to submit accurate, complete, or required information may result in the denial of your permit request. If not submitted here, you also agree to submit all supporting documentation at least 7 days prior to your event start date.

     In consideration of this special event permit application, signatories, applicants, participants, volunteers, and property owner(s) hereby indemnify, hold harmless, waive, release, and discharge in advance, the Town of Mammoth Lakes, including their officers, agents, servants, volunteers and employees, from any and all claims for liability, including, but not limited to, damages of death, bodily injury, personal injury, and property damage, which may have or which may hereafter occur as a result of said activity, even though that liability may arise out of negligence or carelessness on the part of the persons or entity named above and even if such persons and entity are otherwise strictly liable.

     1. I agree to and understand the conditions listed
Leave This Blank:


129. 1. Receive an email copy of this form.
130. Email address

     This field is not part of the form submission.

131. Submit

* indicates a required field