ADVANCE CANCELLATION NOTICE REQUIRED. If this event is cancelled, notify the Deadwood Police Department. Otherwise, City personnel and equipment may be needlessly dispatched. I certify that the information in the foregoing application is true and correct to the best of my knowledge and belief and that I have read, understand and agree to abide by the rules and regulations governing the proposed Special Event and I understand that this application is made subject to the rules and regulations established by the City Commission of Deadwood. I agree to abide by these rules and further certify that I, on behalf of the organization, am also authorized to commit that organization, and therefore agree to be financially responsible for any cost and fees that may be incurred by or on behalf of the Event to the City of Deadwood. Name of Applicant (PRINT): Title: Date: (Signature of Applicant / Sponsoring Organization) (Signature of Professional Event Organizer
ADVANCE CANCELLATION NOTICE REQUIRED. If this event is cancelled, notify the Deadwood Police Department. Otherwise, City personnel and equipment may be needlessly dispatched. I certify that the information in the foregoing application is true and correct to the best of my knowledge and belief and that I have read, understand and agree to abide by the rules and regulations governing the proposed Special Event and I understand that this application is made subject to the rules and regulations established by the City Commission of Deadwood. I agree to abide by these rules and further certify that I, on behalf of the organization, am also authorized to commit that organization, and therefore agree to be financially responsible for any cost and fees that may be incurred by or on behalf of the Event to the City of Deadwood. Xxxx Xxxxxx Xxxx Xxxxxx Date: 2023.05.15 16:14:34 -05'00' Date: Digitally signed by Xxxx Xxxxxx 5-15-23 Name of Applicant (PRINT): Director of Planning Title:
