Special Events Permit Application

Special Events Permit Application
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com

Event Location
Will the event use the grounds of the Manassas Museum, Harris Pavilion or other public park?

Yes No
If yes, please attach an approved event venue reservation or park permit reservation at the time of application.

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Will the event be held on the grounds of the Manassas Airport?

Yes No
If yes, please attach written approval of the Airport Director at the time of application.

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Will the event be held on the grounds of the Manassas City Public Schools?

Yes No
If yes, please attach written approval of Manassas City Public Schools at the time of application.

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Will the event be held within a Historic Overlay District such as Old Town, Liberia Mansion or Mayfield Fort?

Yes No

Event Time & Location
Special events, not including set-up or break down, may be permitted during the following times:
- Dawn to dusk Sunday through Thursday
- Dawn to 11 p.m. Fridays, Saturdays and Federal Holidays
What time will set-up for the event begin?
What time will break-down for the event be completed?
What is the date of the event?
When does the event start?
When does the event end?
Expected Event Attendance (select one):
Expected Peak attendance means the greatest number of attendees expected at the event at any one time. The final expected attendance will be determined by the City. The peak attendance closure prohibitions may be waived if the event is designated as a Community Event as outlined in the City’s ordinance.
Expected Attendance

30 – 100 101 – 2500 2501+ Parade
Expected Overall Attendance (enter number)

Event Layout: Please attach a layout of the event area. This layout must include all public street closures, all public parking lot closures, the location of all participating vendors, the location of all structures (such as bleachers, tents or amusements), parade route/staging area (if event is parade). Events involving physical activity that include a race, run or walk will be required to utilize a route that has been established by the Police Department.

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Event Set-Up and Clean-Up: Please provide a detailed description of the planned set-up and clean-up of the event including the date(s) and times, location, and any city resources requested to accomplish the plans. The applicant shall include a plan to collect and discard all refuse or litter associated with the event.

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Proof of Insurance: Please attach a public liability and property damage insurance contract insuring the liability of your event for personal injury or death and damages to property resulting from the event in such amounts as shall be determined by the City’s Risk Manager (703-257-8236); the City of Manassas shall be named as an additional insured in the contract.

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Public Safety and City Services:Please attach any request for public safety services or other City services required for the event. Special events that include the distribution or sale of alcohol shall be required to include security services by a request for supplemental city services or through the use of private security services.Public safety and other City services may be required as deemed necessary by the City to protect public health, safety, and welfare. City services may also be requested by the event permitee(s) or participants. The cost of any services provided by the City shall be fully covered by the permitee(s) as required by the City. The costs for City services and procedure for receiving payment will be determined by the City. Whether City services can be made available on the date of the special event will be determined in the sole discretion of the City.

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Should be Empty: