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Block Party Permit

2. Guidelines
   Block Party Guidelines
4. Block Party Contact Information
6. First Name*
7. Last Name*
9. Home Address*
11. City
12. State
13. Zip Code*
    -- Select One --6006760074
15. Phone*
16. Email*
18. Block Party Information
    (Requests must be submitted two weeks in advance)
20. Date of Party*
    Date of Party
21. Start & End Time*
    Start & End Time Start Time

    —

    Start & End Time End Time
23. Location of Party*
    (From what street to what street?)
25. Note to applicant(s):
    Only moveable barricades may be used. Blocking streets with vehicles is prohibited.
27. Address of Barricade Drop-Off*
29. (Barricades will be delivered no later than the Friday preceding the party)
31. Have all neighbors been notified?*

    1. Yes
    2. No

    (All neighbors must be notified in advance)
32. Request for Police to visit block party if available*

    1. Yes
    2. No
34. If you would like a visit from the Fire Department please contact Sarah McKillop at 847-202-6340 to make arrangements.
    
    Please understand that Police Officers and Firefighters are on duty, and may arrive late, leave early, or not arrive at all. Equipment can be demonstrated and explained.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit