HomeMy WebLinkAboutPublic Gathering Permit - Office Pain-Free-Pavement 3/8/2025 (2).pdfAction History (UTC-07:00)
Submit by Anonymous User 2/4/2025 12:57:22 PM (Public Gathering Permit Submission)
Approve by Marianna Gonzalez 4/21/2025 9:51:39 AM (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 2/4/2025 12:57:24 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 4/21/2025 9:51:33 AM
Approve by Deborah Lovejoy 4/21/2025 10:44:46 AM (City Clerk Approval)
The task was assigned to Deborah Lovejoy. The priority is: Medium 4/21/2025 9:51:40 AM
Approve by Joshua Rhodes 4/21/2025 2:39:19 PM (Chief of Police Approval)
The task was assigned to Gary L. Hagen, Joshua Rhodes. The priority is: Medium
4/21/2025 10:44:47 AM
Joshua Rhodes assigned the task to Joshua Rhodes 4/21/2025 2:38:52 PM
Approve by Corey Child 4/21/2025 3:49:19 PM (Fire Department Approval)
The task was assigned to Corey Child. The priority is: Medium 4/21/2025 2:39:20 PM
Approve by Marianna Gonzalez 5/1/2025 10:39:57 AM (Customer Services Permit Finalize)
Noah said he would invoice this permit
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The priority is:
Medium 4/21/2025 3:49:20 PM
Email was sent for reminder "Task Reminder" 4/23/2025 3:49:32 PM
Email was sent for reminder "Task Reminder" 4/24/2025 3:49:32 PM
Email was sent for reminder "Task Reminder" 4/25/2025 3:49:31 PM
Email was sent for reminder "Task Reminder" 4/28/2025 3:49:32 PM
Email was sent for reminder "Task Reminder" 4/29/2025 3:49:32 PM
Email was sent for reminder "Task Reminder" 4/30/2025 3:49:32 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 5/1/2025 10:39:35 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
Proposed Race Route
Upload
Sponsoring Group
Applicant Name *
Applicant Email *
2/4/2025
Pain-Free-Pavement
Porter Park
Permit approval will in part be based on prior calendared events. City sponsored events will have first priority.
3/8/2025
8:00 am
100
Please give a complete description of event
I am working on a school project teaching people about how to stay injury free on
your runs I would like to host a race and help people learn how to stay injury free
Yes No
5K Race
Smith Park Route
Evergreen Park Route
Other Route - MUST BE PRE-APPROVED 30 DAY IN ADVANCE
Please submit proposed route map and any land use permission documents if private property is involved
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.
City
rexburg
State / Province / Region
Idaho
Postal / Zip Code
8440
Country
United States
Street Address
276n 2000e
Address Line 2
208-313-3024
Please indicate your plan for crowd control at this event
Taped off areas with cones and people to help watch over everyone. I will have
people in vests at corners directing where to go.
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 + $25 Delivery Chrg
City Event Sponsorship
Please enter approximately how long the event will last
4
Standard Permit Application Fee 50.00
Yes No Porter South
Certificate of Liability
Insurance
Any other gatherings in the same area at the same time are not to be disturbed.
With the issuance of the permit, the applicant is responsible for the crowd control. If any disturbances of any sort
occur; the City of Rexburg Police Department has the right to revoke this permit at any time.
Upon notification of permit approval, Payment for services due seven (7) calendar days prior to the
event, or the event may be canceled.
If damage or excessive cleanup is needed to restore city property back to its previous condition, you may be billed
restoration fees.
For questions, call the City Clerk at (208) 372-2313.
Signature of
Applicant
Recreation
Notification
Other Requirements
Total Permit Cost
Please upload a PDF of proof of liability insurance unless it is a private gathering in a public place. You may also
contact your insurance company and have them send us a copy.
Sign
Office Use Only
Recreation Notification
50.00$