Block Party Permit Application

Complete application and submit to the Village of Gurnee Public Works Department. Applications must be submitted a MINIMUM of 5 business days before the event.

Date of Party

Party Start Time

Party End Time

Do you want Fire and/or Police Department(s) to visit? (see attached letters)

Fire Dept

Yes

Police Dept

Yes

Do you want a Safety Seat Check by the Police Department?

Yes

For the Seat Check, anticipated number of children (ages 0-8) at Block Party

Do you need Sawhorses?

Yes

Map of Block Party Location

(Draw and label streets involved & location of sawhorses, or insert picture of map from an online site (i.e. Google Maps, Bing Maps, etc.)

Untitled

Sawhorse Delivery & Pick-up Policy

Sawhorses are provided free of charge and are delivered to your (Applicant) house, generally 1 day before the party. For use during the party, you must place sawhorses at the desired street location. At completion of the party, place sawhorses on the street in front of your house. Pick-up is generally 1-2 days after the party.

Applicant Name (contact person)

Address

Subdivision (if applicable)

Phone Number

How do you want to receive your approved permit?

Pick-up at Public Works

I fully understand that this permit is valid only for the date, times and location indicated above. I will immediately notify the Public Works Department of any changes to the approved permit information.

Block Party Permit Application

Village Hall