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Special Event Pre-Application

  1. Do you need a special event permit?

    Please answer the following questions to determine if your event will require a special event permit. Allow a minimum of 10 full business days for staff to review the pre-application and determine if a permit is required. Subsequent documents may be needed if a permit is required. Applications must be submitted not less than thirty (30) calendar days prior to the proposed start date of the special event. A $20 non-refundable application fee shall be due and payable by the applicant upon submission of a completed application. A $30 permit fee shall be paid by the applicant prior to issuance of a special event permit.

  2. GENERAL INFORMATION
  3. EVENT DETAILS
  4. Type of Event*
  5. Event information*

    Please check all that apply.

  6. Number of tents/canopies? Enclosed side walls? Top protection?

  7. Please include details of when the event will take place and when event set-up/take-down and cleanup will occur. If you have an alternate date/time the event could take place, please include that information as well.

  8. Please include a detailed description of the event and planned activities.

  9. ACKNOWLEDGEMENT
  10. Notice of City Code

    Chapter 11 of the Ankeny Municipal Code prescribe the conditions through which special events of limited duration may be permitted to occur within the City that involve a request from an individual or organization creating an anticipated significant impact to City property or right-of-way, such as increased vehicle or pedestrian traffic or the closure of a public street, and it is advisable or necessary to include City staff in the preparation, planning, coordination, and approval of the requested special event to promote the health, safety and welfare of the general public and of the event participants or attendees.

  11. Certification*

    I certify that all information in this application and the required documents is true and correct to the best of my knowledge, and upon submittal becomes public record. I understand that any missing documentation may delay license approval. I further understand that should I commit a violation of the terms and conditions of this license, my license may be revoked. I agree that I will obtain any other permits necessary and will follow the guidelines and requirements set forth in Chapter 11 of the City of Ankeny’s Municipal Code and on the list of requirements provided to me.

  12. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  14. This field is not part of the form submission.