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Block Party Application

2. Date of Block Party*
   Date of Block Party
3. Time of Block Party*
   Time of Block Party Start Time

   —

   Time of Block Party End Time
5. Block Party Location*
7. Event Explanation / Type of Event*
9. Name*
10. Email Address*
12. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Alternate Phone Number
21. Requirements and Conditions

    •    Completed applications must be submitted to the Sarpy County Sheriff’s Office ten business days in advance of the requested date.

    •    Event hours are restricted between 10:00 a.m. and 12:00 midnight.

    •    The applicant is responsible for the event and will be the contact in case of emergency or other problems.

    •    The applicant must notify every resident affected by the closed area.

    •    You are responsible for clearing the street of all debris resulting from the party.

    •    The applicant and participants MUST comply with Ordinances and State Statutes governing noise, liquor, and fireworks.

    •    Access must be granted to emergency vehicles and residents within the blocked-off area.

    •    Final authorization rests with the Sheriff or his designee. If at any time the party becomes disruptive, this permit will be revoked and future requests will be denied.

22. Signs and Barricades

    •    Barricades must be picked up at Sarpy County Public Works

    •    Vehicles, sawhorses, barrels, and items other than approved traffic barricades shall not be utilized to block off the affected streets.

    •    $50 security deposit is required when picking up barricades. Deposit is refundable upon return to Public Works, undamaged.

    Sarpy County Public Works
    15100 S. 84th Street
    Papillion, NE 48046
    402-537-6900

    
    

24. Agreement*

    1. I understand and agree to the above rules and regulations as they apply to my request for a street closure for the purpose of a block party.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field