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Standard Use and Special'Use Permit Application Decision City of Eugene Public Works The attached permit application is: 1820 Roosevelt Blvd. APPROVED ❑ Eugene, OR 97402 DENIED Ci nr'. :1-0 1.1: -> , r; n y_r 1 (541) 682 -4800 Date of Application Receipt: ' ' ' Additional Materials (if any) Received: Date of Decision: Keys Issued ❑ YES ❑ NO Date: • Any change to a permitted event must be approved by the City at least 48 hours prior to the scheduled event. The permit application is denied for the following reason(s): ❑ The applicant or the person on whose behalf the application for permit was made has on prior occasions made material misrepresentations regarding the nature or scope of an event or activity previously permitted or has violated the terms of prior permits issued to or on behalf of the applicant. 0 The application for permit (including any required attachments and submissions) is incomplete or improperly executed. 0 The applicant has not tendered the required application fee with the application or has not tendered the required user fee, indemnification agreement, insurance certificate, or security deposit within the times prescribed by the Executive Director or designee. ❑ The application for permit contains a material falsehood or misrepresentation. 1 7 The applicant is legally incompetent to contract or to sue and be sued. ❑ The applicant or the person on whose behalf the application for permit was made has on prior occasions damaged City property and has not paid in full for such damage, or has other outstanding and unpaid debts to the City. ❑ A fully executed prior application for permit for the same time and place has been received, and a permit has been or will be granted to a prior applicant authorizing uses or activities which do not reasonably permit multiple occupancy of the particular park or part hereof. • The use or activity intended by the applicant would conflict with previously planned programs organized and conducted by the City and previously scheduled for the same time and place. • The proposed use or activity is prohibited by or inconsistent with the classifications and uses of the park or part thereof designated pursuant to City code or Administrative Rule. ❑ The use or activity intended by the applicant would present an unreasonable danger to the health or safety of the applicant, or other users of the park, of City employees or of the public. • The applicant has not complied or cannot comply with applicable licensure requirements, ordinances or regulations of the City concerning the sale or offering for sale of any goods or services. • The use or activity intended by the applicant is prohibited by law, the City Code, or by the City's administrative rules. The permit application is denied because it is incomplete. If the following documents are submitted by ' the permit application will be approved: '[} Certificate of General Liability Insurance ff Certification from Lane County Environmental Health 1 0 OLCC Permit EF Certificate of Liquor Liability Insurance 'Li Site plan M< Schedule of entertainment Route map b1 Traffic control plan .0 Traffic personnel documentation 0 Other � - - ' ' i'l ')- ..-„ ., 't I The permit application is denied because it is incomplete. If the following fees are submitted by , the permit application will be approved: Standard Park Permit Fee: $ ❑ Special Event Permit Fee: $ ❑ Facility User Fee: $ ❑ Security Deposit (Separate Check): $ ❑ Vehicle Permit Fee(s): $ &Other An applicant may appeal the denial of a permit to a hearings officer in the manner prescribed by section 2.021 of the ugene City Code. The hearings officer's decision is final. Additional Comments: Decision Rendered By: ti ( - �-' , ' ^\ ' ' ytlr–"- -- Date: (Executive Director or)Designee)