Parades and Special Events Permit Application

Butler City Building: 140 West North Street Butler, PA, 16001-5298

Phone: (724) 285-4124 Fax: (724) 285-6880 Emergency: Call 9-1-1

Parades and Special Events Permit Application

Step 1 of 2

City of Butler

Application for

Street Use Permit for Parades & Special Events

(NOTE: If space provided on this application form is not sufficient to list required information, please attach a separate sheet(s).)

Section 1

Applicant’s Name:(Required)

Phone(Required)

Fax

Email(Required)

Section 2

Event Sponsor or Organization :(Required)

Phone(Required)

Fax

Section 3

Primary Point of Contact (If Different from Item #1 Above)

Name :

Phone

Fax

Section 4

Name of Event:(Required)

Section 5

Date of Event:

Rain Date:

Section 6

Street(s) to be Used/Closed :

(Please Include a Map/Drawing. If the event is a recurring, annual event, the Chief of Police may agree to use data on record from the prior year.)

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