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2. Application for Block Party Permit
4. First Name*
5. Last Name*
7. Phone Number*
8. Address1*
10. City*
11. State*
12. Zip*
14. Date of Party*
15. Hours of Party*
17. Street to be Closed*
18. Block #*
20. Special Reason for Party*
22. Additional Details
24. I HAVE READ AND UNDERSTAND THE RULES ASSOCIATED WITH THE BLOCK PARTY PERMIT. NAMES, ADDRESSES, AND PHONE NUMBERS OF THREE PEOPLE WITHIN THE BLOCK THAT WISH TO PARTICIPATE MUST BE FILLED IN BELOW
26. 
28. Name*
29. Address*
30. Phone Number*
32. Name*
33. Address*
34. Phone Number*
36. Name*
37. Address*
38. Phone Number*
40. Date application is being submitted*
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field