Special Event Permit Application
Maupin Municipal Code requires a permit for any event held on City property. Please complete the application at least 60 days prior to the anticipated event date. You will receive communication from the City of Maupin regarding your application decision. If you have any questions about this application, please contact City Hall at 541-395-2698 or cityhall@cityofmaupin.org. If you need assistance completing this application, please stop by City Hall at 507 Grant Avenue.
Sponsoring Organization Name
*
Type of Organization
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Primary Event Coordinator Contact
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
On-site/Day-of Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Is the event coordinated through an event promotion company?
*
Please Select
Yes
No
Name of Company
*
Event Name
*
Event website
Event Type
*
Please Select
Athletic
Festival
Parade
Concert
Funeral/Celebration of Life
Reunion
Briefly explain the event details
*
Is the event open to the public?
*
Yes
No
How many people are expected to attend?
*
Event Date Requested
*
-
Month
-
Day
Year
Date
Event Hours
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Set Up Start
*
Hour Minutes
AM
PM
AM/PM Option
Clean Up Finished
*
Hour Minutes
AM
PM
AM/PM Option
Facilities Requested. The City cannot guarantee that the facilities are available to use on your requested date.
*
Civic Center Community Room
City Park Community Building
Kaiser Park
Mountain Fir Park
City Street
Highway 197/Deschutes Avenue (This is ODOT jurisdiction and requires a special permit.)
Please provide details about your facility request, including which streets you would like to use, and plans for parking.
*
Does the event involve the consumption or sale of alcoholic beverages?
*
Yes, and we are obtaining an OLCC permit
No
If yes, please provide details about vendors and licensing.
Learn more about OLCC licenses here: https://www.oregon.gov/olcc/lic/pages/special_event_licenses.aspx
Will there be food carts or temporary restaurants serving food at the event?
*
Yes
No
If yes, please provide details about vendors and licensing.
The City of Maupin requires licenses for food carts and temporary restaurants. Learn more about North Central Public Health District requirements here https://www.ncphd.org/mobile/food-cart-licensing
Please upload a scale drawing of the event site plan.
*
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How will the event handle garbage and recycling?
*
Please describe your marketing plan and provide links to any websites or social media pages that are being used to publicize the event.
*
What questions do you have for the City of Maupin regarding this event?
*
Please upload a copy of the certificate of insurance liability for the event.
*
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A certificate of insurance for general liability naming the City of Maupin as an Additional Named Insured for amount not less than $2,000,000 per occurrence, and $3,000,000 general aggregate coverage. Coverage shall indicate that City will receive 30 days’ notice of cancellation or material modification. If alcohol is to be served or sold, host liquor liability coverage in the amount of $2,000,000 aggregate is also required. The City reserves the right to increase coverage minimum.
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I understand that the permit application is subject to denial and applicants are advised not to announce, advertise, or promote the event until you have a confirmation of approval.
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