HomeMy WebLinkAboutPublic Gathering Permit - Office Pain-Free-Pavement 3/8/2025.pdfAction History (UTC-07:00)
Submit by Anonymous User 2/26/2025 1:18:36 PM (Public Gathering Permit Submission)
Approve by Marianna Gonzalez 2/27/2025 1:42:46 PM (Cust Serv Calendar Approval)
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The due date is:
February 21, 2025 5:00 PM. The priority is: High 2/26/2025 1:18:37 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 2/27/2025 1:39:55 PM
Approve by Deborah Lovejoy 2/27/2025 2:10:43 PM (City Clerk Approval)
The task was assigned to Deborah Lovejoy. The priority is: Medium 2/27/2025 1:42:47 PM
Approve by Gary L. Hagen 3/7/2025 11:04:01 AM (Chief of Police Approval)
An error occurred when trying to assign the task. The priority is: Medium 2/27/2025 2:10:44 PM
The step was retried by Deborah Lovejoy 2/27/2025 3:47:07 PM
The task was assigned to Gary L. Hagen, Joshua Rhodes. The priority is: Medium
2/27/2025 3:47:07 PM
Email was sent for reminder "Task Reminder" 3/3/2025 2:11:10 PM
Email was sent for reminder "Task Reminder" 3/5/2025 2:11:10 PM
Gary L. Hagen assigned the task to Gary L. Hagen 3/7/2025 11:03:56 AM
Approve by Corey Child 3/7/2025 12:47:34 PM (Fire Department Approval)
The task was assigned to Corey Child. The priority is: Medium 3/7/2025 11:04:02 AM
Approve by Marianna Gonzalez 3/10/2025 9:59:16 AM (Customer Services Permit Finalize)
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The priority is:
Medium 3/7/2025 12:47:35 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 3/10/2025 9:59:11 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:
The City of Rexburg has 2 approved 5K Race Routes.
Smith Park 5K Race Route
Evergreen Park 5K Race Route
If either of these routes do not work for you, you must submit your route for approval at least 30 days prior to
your event. Written permission from land owners must be submitted if private property is included in your route.
Please exclude high traffic streets from your proposed route, such as, North 2nd East, Main St, South 2nd West,
Yellowstone Hwy, etc. to circumvent shutting down main thoroughfares and disrupting traffic flows for the safety of the
participants, pedestrians, and drivers.
Please Choose
Approved 5K Race
Route
Sponsoring Group
Applicant Name *
Applicant Email *
2/26/2025
Pain-Free-Pavement
Smith Park
Permit approval will in part be based on prior calendared events. City sponsored events will have first priority.
3/8/2025
9 am
50-100
Please give a complete description of event
A 5k race made to bring the comunity together and teach about injury prevention
Yes No
5K Race
Smith Park Route
Evergreen Park Route
Other Route - MUST BE PRE-APPROVED 30 DAY IN ADVANCE
208 physical therapy
Cooper Jardine
Jardine.cooper@sugarsalem.com
Applicant Address *
Phone *Phone 2
Crowd Control Plan *
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
City
rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
United States
Street Address
276n 2000e
Address Line 2
208-313-3024
Please indicate your plan for crowd control at this event
Students to help in vests for crowd control
This permit must be present at the event, and must be available upon request
(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 + $25 Delivery Chrg
City Event Sponsorship
Please enter approximately how long the event will last
3
Standard Permit Application Fee 50.00
Yes No
Please upload a PDF of proof of liability insurance unless it is a private gathering in a public place. You may also
contact your insurance company and have them send us a copy.
Any other gatherings in the same area at the same time are not to be disturbed.
With the issuance of the permit, the applicant is responsible for the crowd control. If any disturbances of any sort
occur; the City of Rexburg Police Department has the right to revoke this permit at any time.
Upon notification of permit approval, Payment for services due seven (7) calendar days prior to the
event, or the event may be canceled.
If damage or excessive cleanup is needed to restore city property back to its previous condition, you may be billed
restoration fees.
For questions, call the City Clerk at (208) 372-2313.
Signature of
Applicant
Recreation
Notification
Other Requirements
Total Permit Cost
Sign
Office Use Only
Recreation Notification
50.00$