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Step One

Event Information
Is this charity event?*
1. Yes
2. No
Please enter the name of the charity.*
If this is a legal non-profit, attach proof of California Revenue and Tax Code Section 23701.
Proof of Charity Document Upload*
Purpose and General Statement Describing the Type of Event*
Location of Event
Event Address*
City*
Zip Code
Is this event taking place on City Property?*
1. Yes
2. No
Name of City Department*
For Availability and Reservations
If on City Property, Contact made with: *
Contact Persons Phone Number*
Please enter the number of the City person you contacted
When will the event take place?
Setup (Date and Time)*
Setup (Date and Time)
Setup (Date and Time)
Clean-up (Date and Time)*
Clean-up (Date and Time)
Clean-up (Date and Time)
Property Owner Information
Owner of property upon which the event will take place.
Property Owner Name*
If on City Property, enter Daly City.
Home Phone
Cell Phone*
Enter number of City Contact person if occurring on City Property.
Property Owner's Address*
Please update the property owner's address if it's different from the event address.
City*
State*
Zip Code*
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Have you, or the organization you represent, ever had any application for a permit or license from the City denied or revoked? *
1. Yes
2. No
If "Yes", please provide date of application and reason for denial/revocation.
If “Yes”, please provide date of application and reason for denial / revocation.*
I, the undersigned, herby apply for a Special Event Permit as set forth in the information contained herein, and certify that the above information is true and correct. Such certification is made with full knowledge that misrespresentation may be considered sufficient cause for denial or revocation of this permit or other permit license. The Applicant further understands and agrees, as attested by his or her signature below, to hold harmless, idemnify and defend the City of Daly City, its officers and employees, from all claims, damages, liability and/or other costs that may result from this Special Event.*
1. Yes
2. No

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