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APPLICATION FOR BLOCK PARTY PERMIT

2. 
4. An application for a block party permit shall be filed with the City of High Point Special Events Coordinator not less than ten (10) business days prior to the proposed block party date.
6. Block Party
   Block Party - is defined as a planned gathering of persons in which a public street will be closed that is sponsored by a business, place of worship, non-profit organization or community interest group.
8. The following standards shall apply to all block parties conducted in the city:
   • The block party may encompass an area of no greater than one block and the sponsoring organization must be located in that area. Block parties may have no more than 500 attendees at any one time.
10. Event Date Restrictions:
    Events will be restricted during the time period from one week before through one week after the Spring and Fall High Point Market; and on any recognized City Holiday.
12. Event Advertisement:
    Do not announce, advertise or promote your event until you have completed and submitted this application and you have received approval from the City of High Point. The submission of a permit application does not constitute automatic approval or a guarantee of eligibility.
14. The application must be signed by the applicant and notarized. It shall include a minimum of the following information:
16. Today's Date:*
    Today's Date:
17. Date of Event: *
    Date of Event:
18. Start Time of Event*
    Start Time of Event
19. End time of Event*
    End time of Event
21. Estimated Attendance*
23. Name of Event Sponsor/Responsible Party*
    (Applicant must reside in the area to be blocked off or be an authorized representative of the business, place of worship, or other entity sponsoring the block party.)
25. Address*
27. City*
28. State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
29. Zip Code*
31. Phone number*
32. Alternate Phone Number
34. Event Purpose*
36. Street to be blocked off*
38. From:*
40. To:*
    (Please be specific; state from X Street to Y Avenue or from Address A to Address B)
42. The applicant /event sponsor is responsible for notifying all property owners/residents of the event details prior to submitting this application. The applicant/event sponsor must provide assurance that all affected owners/residents in the area to be blocked off have been advised of the event and that all are in agreement with the closure for the requested date and time (see Block Party Application Consent Record). Any opposition by property owners/residents with direct frontage and/or access to the street to be closed may result in permit denial. Addresses, contact information (phone or email), and signature for each must be attached to this application. Incomplete or inaccurate applications will be denied. The City of High Point Signs and Markings Division will deliver barricades to the address listed above (unless otherwise stated) on the Thursday before the event and will pick up barricades the Monday following the event. The application/event sponsor shall be responsible for the appropriate use of these devices and shall also be held financially responsible for their maintenance during the event and for any loss thereof. Damaged or unreturned items will be billed to the applicant/event sponsor accordingly based on a current replacement cost schedule.
44. 

    *ALL TRAFFIC CONTROL DEVICES PROVIDED WILL MEET MUTCD SPECIFICATIONS
46. This application will be reviewed by staff from the City of High Point Department of Transportation, the High Point Police Department, the High Point Fire Department, High Point Emergency Management and other City of High Point Departments as conditions and locations merit. You will receive notification (by email and/or U.S. Mail) from the City of High Point regarding the status of your application prior to the event.
48. A $50.00 non-refundable application fee is required to be paid at the High Point Theatre (220 E. Commerce Ave. High Point, NC) prior to submittal of this permit application. Submit your notarized application as stated below.
50. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
52. Electronic Signature
Leave This Blank:


53. Print Only

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