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Special Event Application

  1. City of Mitchell SD-Color
  2. Special Event Application Form
  3. Events that are open to the general public and take place within the public right-of-way; require closure of streets or parking lots, sound amplification, fireworks, or are located within a park are coordinated through the special event application & permit process. Typically, these events require permits, licenses, and approvals from several City departments, depending on the size and nature of the special event. To apply for a special event permit, please complete this application. Your application, including required attachments, needs to be submitted no later than forty-five (45) days before your event. Facility Use Agreements should also be completed at this time (if applicable).
  4. Requests included in this application:*
  5. Event Information
  6. Please check all that apply:*
  7. Is your organization a "Tax Exempt", non profit organization?*
  8. Facility Use, Route Map, and Impacted Areas
  9. This event will include the use of:*
  10. Safety, Security, and Accessibility
  11. Noise Permits
    Special events that cannot comply with Mitchell City Code Title 5, Chapter 5, Noise Control; are required to obtain a noise permit. MCC 5-5 can be found at: www.cityofmitchell.org/specialevents
  12. Will Sound Amplification be used?*
  13. Please list the start time and finish time.
  14. Will sound checks be conducted prior to the event?
  15. Fireworks Permits
    If any fireworks, rockets, or other pyrotechnics will be used, you must complete the information below. Fireworks permits require that the applicant provide a copy of a certificate of liability insurance coverage with a $1,000,000 per occurrence coverage with the City of Mitchell must be listed as an additional insured.
  16. Contact information for the person(s) in charge of firing the display:
  17. Type of Fireworks
  18. Insurance Requirements
    Insurance for your event will be required before final permit approval. Y Special Events: you will need $2,000,000 commercial general liability insurance. Liquor liability insurance is required if you are planning to sell alcoholic beverages at your event or facilities rental. A minimum of $500,000 liquor liability is required. Fireworks Permits require $1,000,000 of liability insurance per occurrence. All required insurance must name "the City of Mitchell, its officers, employees and agents" as an additional insured. Insurance coverage must be maintained for the duration of this event. For insurance related questions, please contact the City's Human Resources Office at (605) 995-8417. You can email the certificate to hr@cityofmitchell.org or mail to City of Mitchell, Human Resources, 612 N. Main Street, Mitchell SD 57301.
  19. I have the following coverages and will provide a copy of the Certificate showing the City of Mitchell as an additional insured as required above.*
  20. Affidavit of Applicant
    By typing your name by each of the items below, you are providing your acknowledgement of the requirements listed.
  21. I am attaching the following items:
  22. Leave This Blank:

  23. This field is not part of the form submission.