HomeMy WebLinkAbout4th of July Public Gathering Permit - Office (5).pdfAction History (UTC-07:00)
Submit by Anonymous User 6/10/2024 11:47:31 AM (Public Gathering Permit Submission)
Reject by Deborah Lovejoy 11/20/2024 10:28:01 AM (Cust Serv Calendar Approval)
Date Passed/expired - DL
The task was assigned to Amanda Williams, Deborah Lovejoy. The due date is: June 20, 2024 5:00 PM.
The priority is: High 6/10/2024 11:47:32 AM
Deborah Lovejoy assigned the task to Deborah Lovejoy 11/20/2024 10:26:58 AM
Reject by Deborah Lovejoy 11/20/2024 10:29:17 AM (Reject & Inform Customer)
The task was assigned to Marianna Gonzalez, Deborah Lovejoy. The priority is: Medium
11/20/2024 10:28:02 AM
Deborah Lovejoy assigned the task to Deborah Lovejoy 11/20/2024 10:29:11 AM
City of Rexburg Public Gathering/Parade Permit
Public gathering permit application for events in a public street or venue that will have an impact
on the public.
Reference: Ordinance 759 & Ordinance 810 - An application for a permit shall be filed with the City Clerk at least
FORTY-FIVE days (45) and not more than one year before the parade or public assembly is proposed to commence. An
"Expedited Application Fee" of $25.00 will be added if received less than 21 days prior to the event
Date of Application
Event Name *
Event Location *
Date of Event *
Time of Event *
Number of
Participants and
Observers *
Description of
Event *
Check "Yes" if Event
is a 5K Race:
Sponsoring Group
Applicant Name *
Applicant Email *
Applicant Address *
Phone *Phone 2
Crowd Control Plan *
6/10/2024
4th of July
Melanie Dr Rexburg, Id
Permit approval will in part be based on prior calendared events. City sponsored events will have first priority.
7/4/2024
7pm to 11pm
45
Please give a complete description of event
Neighborhood coming together to light off fireworks.
Yes No
Mona Lords
monamonella@hotmail.com
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
United States
Street Address
245 Melanie Dr
Address Line 2
2087578058
Please indicate your plan for crowd control at this event
Area roped off with yellow caution tape, audience required to stay in designated
areas away from fireworks. Visiting adults responsible for their children and guests.
This permit must be present at the event, and must be available upon request
If NON-PROFIT
provide 501(c)c (3)
No.
Attach a map showing proposed street closures and route for the event. You may use the GIS Parcel Viewer Map to
create your map.
Map of Event
Location
City Services
Estimated Hours
Permit Application Fees - Standard Public Gathering Permit Fee is $50.00
Standard Public Gathering Permit Fee is $50.00
Permit Fee Type Permit Cost
Add Standard Permit Fee AND $25 Expedite Permit Fee if application is received less than 21 days prior to event
Did you make a Park Shelter or Carousel Reservation?
Shelter Rental Park Shelter Rental Permit #
To Make a Park Shelter or Carousel Reservation Click Here.
Certificate of Liability
Insurance
Any other gatherings in the same area at the same time are not to be disturbed.
With the issuance of the permit, the applicant is responsible for the crowd control. If any disturbances of any sort
occur; the City of Rexburg Police Department has the right to revoke this permit at any time.
Upon notification of permit approval, Payment for services due seven (7) calendar days prior to the
event, or the event may be canceled.
If damage or excessive cleanup is needed to restore city property back to its previous condition, you may be billed
restoration fees.
For questions, call the City Clerk at (208) 372-2313.
Signature of
Applicant
Melanie Dr.pdf 189.03KB
(Map must be a PDF)
Additional fees may be added if City Services are needed for an event. Additional costs will be calculated during
the City approval process.
Police- 1 officer $64 per hour
Fire Crew- $300 per hour
Ambulance Crew- $200 per hour
Public Works- Dependent on service
Park Shelters/Carousel Rental
Extra Garbage- $6.33 per 90 Gal Cont + $25 Delivery Chrg
City Event Sponsorship
Please enter approximately how long the event will last
4 hours
Standard Permit Application Fee 50.00
Yes No
Please upload a PDF of proof of liability insurance unless it is a private gathering in a public place. You may also
contact your insurance company and have them send us a copy.
Sign
Office Use Only
Recreation
Notification
Other Requirements
Total Permit Cost
Recreation Notification
50.00$