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Special Event Permit Application

2. Roeland Park Special Events Permit Application
   This permit application is for type 2 to 5 permits which apply to Christmas tree sales, promotional activities or devices, tent sales, trade shows, farmers' markets, seasonal merchandise sales or product demonstrations, significant public events intended primarily for entertainment such as carnivals, concerts or festivals.
4. Fees
   Type 1 Special Events –$0 (no fee required) Non Profit/Charities; Type 2 Special Events – $25 (Christmas Tree Sales); Type 3 Special Events – $50 per event (up to 10 per year); Type 4 Special Events – $50 per event (up to 10 per year); Type 5 Special Events – $50 per event (up to 10 per year).
5. Choose Type of Event*
   -- Select One --Type 1 - non-profit/charity $0 no feeType 2 - Christmas tree sales $25Type 3-5 - Commercial/promotional $50
7. Applicant's Name*
8. Company Name (if applicable)
10. Address*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
17. Email Address*
21. Property Owner's Name (if different than applicant information)
22. Email Address
24. Address
26. City
27. State
28. Zip Code
30. Phone Number
34. Type of Event*
36. Start Date and Time*
    Start Date and Time

    Start Date and Time
37. End Date and Time*
    End Date and Time

    End Date and Time
39. If there will be any signs or structures being used at the event, please describe here:
41. Please attach a sketch showing location of the proposed activities, structures and/or signs in relation to existing buildings, parking areas, streets and property lines.*
42. Attach a letter from the property owner or manager, if different from the applicant, agreeing to the special event.
44. 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.
46. Electronic Signature*
47. Date*
    Date
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field