Emergency Item: First Baptist Church of Ocoee • �merry�hC'y�f�rr7
Center of Gooddif
Mayor ,Nhz g rt CominS_a[oner_ .
rit • Danny Howell, District 1
S Scott � andargrrft :�-^S_
Scott Anderson Di_h'rct3
Cite ManagerC ORE Rust) Johnsen, District
•
.iim Gleason �) �
.,�t - Nancy J. Parker District-1
�
Organization Head uarters
Name' nZ `lc.04-- U CQef
Address'
The.
City:QrrreP ) _ State: Fl _Zip Code: �V?&/
Phone #:: VO7 4.9jjc-aS</R --
Representative
Name:Acianciscry
Address: n%V Y r 11 p Stret4 -7
City: rc _e_ _. State: (1 Zip Code'. 3i976/ _ -
i
Phone k. 3/7 - L ,? - as'55 -Applicant(if different):
Name:
Address:
City Stag: Zip Code: _ _ -
Phone 4.
Type of Even:: Parade C eremonc - -Exhibition Show
I
Concert Demonstration Other 3QCK 1Q SC ivirit n 1 ni
Date (s) and time scheduled S . rrtQccal d ±i-LA r^lAS _. 0°e" tt7 2 r'
Nature and rapes of activities: P;,ayt. !L'� C n W\t‘c7_.er(-evic __
CIn N- c
AA
Approximate number of spectators and participants: C ) ch�Clorn 4/Yc tOciatis
Purpose of Special event: -
Exact location of event: Q44)Id-eei Era-on S C um - /Gnv ie iu IS1s5
C
n1
Designation of public facilities or equipment to be used: MO-
Number _
Number of temporal-) directional signs: _.x S5.00 per sign -
Cite of Ocoee • 150 N Lakeshore Drive• Ocoee, Florida 34761
Phoec. (407)905-3104 • fax: (407)656-5398 • way..ci_ocoee.fl.us
Copy of State Permit if State roadway is used: ❑ Yes • No
For Parade:
Exact location of marshaling and staging ea:_,
Time at which units of parad ill begin to arrive:
Time at which units of p•- de will be dispersed:
Exact route to bet . tied shown on attached map: ❑ Yes ❑ No
Please attach •roximate# of persons, animals, &vehicles participating with description of
types of. mals and vehicles.
P - se will occupy all of the width of the street, roadway, or sidewalk. • Yes ❑ No
For Fireworks:
The following shall be attached to this application:
1) A detailed listing of the type & quantity of fire •.rks to be used.
2) A detailed written statement outlining all a..ropriate safety procedures which will be used at
fireworks display in order to protect th- afety of the public and all surrounding property.
3) A detailed written statement descri•'ng what facilities and containers will be used to store
fireworks.
4) If applicable, applicants fe - al license# for transporting fireworks across state line; and
5) A detailed list of names .ddresses, occupations, and backgrounds of all individuals who will
be responsible for ti actual display, use or explosion of any fireworks. the backgrounds
statement shout nclude a complete history of the experience of the individuals involved
with respec o their use to fireworks, including a detailed list and explanation of each and
every . [dent resulting from the use of fireworks which the individual has been responsible
for, or involved in.
6) A map showing exact launch poiktt and area of fallout.
Applicant Signature e _ Date: `3/1//0
Ilk Approved /T�j Disaaproved ❑ Conditions for permit attached
Police Chief �• C. �e 1— 0 _Date:
proved ❑ Disapyge/'o).ed ❑ Conditions for permit attached
Fire Chief /9,�6�'�^'"'-"""T _ Date: r- U- ° 3
116 Approved ❑ Di eve ❑ Conditions for pe mi attached
Building and Zoning Official Date: O J!
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