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Application - Parade on Public Streets City of La Vergne, Tennessee 5093 Murfreesboro Road, La Vergne, TN 37086 ¨ (615) 793-6295 APPLICATION FOR PARADE ON PUBLIC STREETS Pursuant to Title 16, Chapter 1, Section 16-110 of the La Vergne Municipal Code (L.M.C.), a permit is required before any person, club, organization or similar group can hold any meeting, parade, demonstration or exhibition (Event) on a public street. No permit can be issued unless such activity will not unreasonably interfere with traffic and unless the group or organization agrees to clean up any and all litter which may be left on the public street as a result of the activity. All applications must be approved by the Chief of Police to ensure that proper traffic controls are in place and that the activity will not cause any unreasonable interference with traffic. TYPE OF EVENT: Parade Demonstration Exhibition Other: ________________________ APPLICANT INFORMATION (Please Print or Type - Any Correspondence will be addressed to the individual.) 1. Date of Application: ________________ 2. Phone Number: ____________________ 3. Organization Name: _____________________________________________ 4. Contact Name: _____________________________________________ 5. Address: _____________________________________________ _____________________________________________ 6. Date of Event: ________________ 7. Time of Event: ____________________ 8. Description of Event: _____________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (If additional space is needed, please use an additional sheet o f paper.) 9. Please give the proposed route of the Event: ___________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (If additional space is needed, please use an additional sheet of paper.) By submitting this application for approval, I hereby agree that my group / organization will remove any and all litter that may be left on the streets as a result of the Event as required by L.M.C. Title 16, Chapter 1, Section 16-110. I also understand that this permit may be denied if the City of La Vergne determines that the proposed route of the Event will unreasonably interfere with the flow of traffic. ___________________________________________ Date: ____________________ Applicant Signature