City of Bay Lake

CITY OF BAY LAKE

OUTDOOR PUBLIC ASSEMBLY PERMIT

PLEASE TYPE OR PRINT IN INK

Name of person responsible for assembly/charges:______

Mailing address, phone:______

Name of organization (sponsor):______

Mailing address, phone:______

Chairperson’s Name:______

Mailing address, phone:______

Date of Assembly:______Times: Start ______Terminate______

*Except upon a showing by Applicant of unusual circumstances, assemblies shall only occur between the hours of 7:00 A.M. and 7:00 P.M.

Nature of assembly (including the type of activity which will occur during its conduct):

Number of units and brief description (approximate number of persons, animals, vehicles, etc.):

Marshaling areas, as applicable to be used:______

Units will begin arriving at said marshaling areas at: (time)______

and will be dispersed there from at: (time)______

Exact parade route, demonstration areas and participant parking areas or exact assembly location (attach map):______

Will parade or demonstration area occupy all or part of streets and sidewalks to be traveled along the route (explain briefly):______

Designation of public facilities or equipment proposed to be utilized; list all special requests, explain completely:______

The Permit Special Conditions attached hereto and incorporated herein by reference, supersedes the above information and provides additional information applicable to this permit.

I hereby certify that I have reviewed the contents of the Outdoor Public Assembly Ordinance and do hereby subscribe to all stipulations contained therein. The assembly will be terminated should it create or cause any violation of the Ordinance. In addition, the applicant and any other person, organization, firm, or corporation on whose behalf the application is made, shall represent, stipulate, contract and agree that they will jointly and severally indemnify and hold harmless the City of Bay Lake and the Reedy Creek Improvement District from and against all claims, losses, and expenses, including attorney’s fees, for any and all claims or actions arising out of or resulting from the holding of the outdoor public assembly including, but not limited to, any and all claims for damaged property, or injury to or death of persons arising out of or resulting from the holding of the assembly or the issuance of the permit.

Authorized Signatory for Applicant: ______Date:______

Sworn to and subscribed before me this ______day of ______. 200____.

Notary Public: ______My Commission Expires:______

Applicant Payment or Prepaid Cost: $______

______Approved

______Denied

______

Date City Manager