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Street Use Permit Application

2. Street Use Permit Application
   You must submit this application and all required attachments at least two weeks prior to the event.

   You must submit this application and all required attachments at least two weeks prior to the event.

4. Name of Event*

6. Date & Time of Event*
   Date & Time of Event Start Date

   Date & Time of Event Start Time

   —

   Date & Time of Event End Date

   Date & Time of Event End Time

8. Contact Person*

9. Contact Phone*

11. Contact Email *

13. Place of Assembly*

15. Place of Disbandment*

17. Nature of Event*

    1. Parade
    2. Race
    3. Concert
    4. Demonstration
    5. Market/Fair
    6. Other (Please Describe)

18. Nature of Event - Other

    If you selected "Other" please briefly describe the nature of your event above.

20. Number of Units/Participants

21. Vehicles

22. Pedestrians

24. Attachments
    Please attach all of the following documents in PDF form: 1. Map showing the area of closure. For parade routes or races you must show the entire route. 2. Liability Insurance Policy with the following requirements: Minimum amounts are $750,000 per claim and $1,500,000 per occurrence. The City of Missoula must be named as an additional insured for the event/activity for which the Street Use Permit is issued.

    Please attach all of the following documents in PDF form: 1. Map showing the area of closure. For parade routes or races you must show the entire route. 2. Liability Insurance Policy with the following requirements: Minimum amounts are $750,000 per claim and $1,500,000 per occurrence. The City of Missoula must be named as an additional insured for the event/activity for which the Street Use Permit is issued.

26. Street Closure/Route Map*

27. Insurance*

28. Traffic Control Plan*

30. Please Note: Submittal of this form does not constitute permit approval. The permit is not valid until all departments have signed off.

    Please Note: Submittal of this form does not constitute permit approval. The permit is not valid until all departments have signed off.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field