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An application for permit shall be made to the Chief of Police upon a form prescribed by the Police Department. The application shall be filed not less than 15 days prior to the scheduled date of the youth dance. The application shall contain the following:

A. The names and addresses of the Applicant or Applicants;

B. The date upon which the dance is to be held or, in the case of a Class A permit, the approximate number of dances held and the dates thereof;

C. The approximate attendance expected at these dances;

D. The names, addresses and telephone numbers of all chaperons or supervisors as may be required by this chapter. In the event the permit is to be issued for more than one dance, the Applicant shall provide at least five days prior to the dance such names, addresses and telephone numbers of chaperons or supervisors who will be in attendance at the dances, if any changes occur from those chaperons or supervisors originally submitted;

E. Class of permit and facts upon which Applicant bases his request for the class of permit applied for;

F. A statement of disbursement of proceeds or profits, indicating percentage to be given to youth activities;

G. A statement regarding the place or premises where the youth dance is to be held and containing the following information:

1. That the premises are reasonably adequate to hold the dance and comply with the provisions of this chapter,

2. That the premises do not violate any ordinance of the City or law of the state relating to health, safety and fire,

3. The maximum number of Persons that can be safely accommodated on the premises,

4. That the premises are designed in such a manner and supervision will be provided so as to comply with all requirements of this chapter.

The application shall be signed under penalty of perjury and be accompanied by the applicable fee. The application may be signed by any member of the adult sponsoring group. (Ord. 1672 § 2, 1976).