REQUEST TO HOLD A PARADE /ROAD CLOSURE

REQUEST TO HOLD A PARADE /ROAD CLOSURE
RULES AND REGULATIONS, Title 67-TRANSPORTATION, DEPARTMENT OF TRANSPORTATION [67 PA. CODE CHS. 201, 203, 204, 211, 212 AND 217] Official Traffic-Control Devices CHAPTER 212. OFFICIAL TRAFFIC- CONTROL DEVICES Subchapter H. SPECIAL EVENTS § 212.701. Processions, assemblages and special activities. (b)2(viic) Use of local roadways. Requests to close a local roadway for a procession, assemblage or special activity must be made in writing to the local authorities at least 3 weeks before the anticipated road closure. If the procession, assemblage or special activity also requires the closure of State-designated highways, the request must be made in writing to the local authorities at least 2 months before the anticipated road closure.

Organization Making Request: Contact Person:
Organization Making Request
Contact Person
Telephone
Format: (000) 000-0000.
Purpose for road closing:
Date:
Rain Date

MonthDayYear
Date
Between the hours of
and
YesNo
YesNo
Length of the road being closed? (blocks, feet, miles)
Traffic control will be provided by
Spectator control will be provided by
Anticipated number and type of vehicles or pedestrians that will be in the event? #Vehs.Type# of Peds
Vehs
Type
What is the estimated speed of travel of the procession or special activity? Have all traffic control devices, services and police escort services been contracted to provide rerouting of traffic along the alternate route if required?
rerouting of traffic along the alternate route if required
Will the closure or partial closure adversely affect adjacent properties Have similar closures been free of substantial problems or citizen complaints?

The applicant agrees to be responsible for maintenance of any alternate routes and agree to fully indemnify and save harmless Honesdale Borough and all Borough employees and assume all liability for damages or injury occurring to any persons or property through or in consequences of any act or omission of anyone associated with the highway/street closure or partial closure by providing an insurance certificate of $1,000,000.00 naming Honesdale Borough as additional insured. Consultation prior to submission is suggested with the Honesdale Borough Streets Committee Chair and the Honesdale Borough Police Chief.

A map showing the closure and alternate or detour route(s) is enclosed with this request and is submitted 45 days prior to the requested date of closure.
Date

MonthDayYear
Date
Authorized Agent for Applicant
Project Parade Name
Project Parade Dates

MonthDayYear
Date
Applicant Official Submitting
Date

MonthDayYear
Date
Police Chief Approval
Date

MonthDayYear
Date
Sent to Council for Approval Date

MonthDayYear
Date
Council Official Approval
Date

MonthDayYear
Date
Should be Empty: