TOWN OF OCONOMOWOC

SPECIAL EVENT APPLICATION

Tax Key Number ____________

CU File Number ____________

Date Approved ____________

Name of Event ____________________________________________________________________________

Date of Event ____________________________ Hours ___________________________________________

Location event will be held ___________________________________________________________________

1. Name of Business ________________________________________________________________________

Address ________________________________________________________________________________

________________________________________________________________________________________

2. Name of Owner __________________________________________________________________________

Address ________________________________________________________________________________

________________________________________________________________________________________

3. Zoning District ______________ Conditional Use Permit Number __________________

Has a Conditional Use been issued for the subject property? Yes __________ No __________

If Yes, does the Conditional Use permit authorize the event request? Yes ____________ No __________

If No, has the event been authorized by other agencies? Yes __________ No __________

If Yes, what agents? ___________________________________________________________________

Has this event been held previously? Yes __________ No __________

If Yes, when? ________________________________________________________________________

4. Outside Event? Yes __________ No __________

If Yes, please explain _____________________________________________________________________

Hours Outside __________________________________________________________________________

Number of People expected to attend the event ________________________

Number of mooring sites available ____________________

Number of parking spots available _____________________

Other sites for parking ______________________________

5. Special Outdoor Lighting and/or signs for event? (Locate on a Site Plan)

Type ______________________________ Location ___________________________________________

6. Is there any food or bar service outside? Yes __________ No __________

(Locate on Exterior Site Plan)

Current Wisconsin Sellers Permit # ___________________________

Name of Agent, Partner, or Owner ____________________________

Phone numbers(s) for Agent, Partner, or Owner (where they can be reached during the event)

Name ________________________________________ Phone Number ___________________________

Note: The Town Board and the Town Police Chief must approve your request to serve intoxicating liquor and malt beverages unless it is a part of your Plan of Operation or stated on you Conditional Use Permit.

7. Fencing for Special Event? Yes __________ No __________

(Locate on Exterior Site Plan)

8. Is there any type of music? Yes __________ No __________ If Yes, _____________________________

Where ______________________________________________ Hours ____________________________

Non-Amplified Live _____________________ Amplified _____________________

9. Refuge Disposal and Sanitary Facilities for large crowd. (Locate on Site Plan)

10. Does this Special Event involve the sale of any items other than food or drink?

Yes ____________ No _____________

If Yes, please submit a list of all items sold.

11. Do you plan to hire private security for the event? ______________________________________________

Name ________________________________________ Phone Number ___________________________

12. Other items to consider which are not listed above _____________________________________________

_________________________________________________________________________________________

Along with the completion of this form a scaled plan of the interior of the structure and a site plan must be submitted indicating size and location of all existing structures and dimensions of the parcel, location of all parking, lights, dumpsters, fencing and screening, outside seating and location of any special outdoor activities, piers, and any other items requested by the Town and County for this Special Event.

Operator Signature ________________________________________________ Date ___________________

Owner Signature __________________________________________________ Date ___________________

Town Approval Signature ___________________________________________ Date ___________________

County Approval Signature __________________________________________ Date ___________________

(Application for Special Events must be submitted to the Town Clerk’s Office 60 days in advance of the Special Event)