Special Event License Application

Fields marked with an * are required

Event and Owner Information
Vendor
FAQ
Affidavit
Contact Information

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All indebtedness to the City must be paid in full before any Regulatory License will be issued.

Special Event / Business Name *

Address *

Website *

Phone *

Type of Event *

Location of Event *

Dates of Event *

Illinois Business Tax ID Number *

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Business Owner Information:

Last Name *

First Name *

Middle Inital *

Address *

Home/Work Phone

Cell Phone *

Email *

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Property Owner Information:

Last Name *

First Name *

Middle Inital *

Address *

Home/Work Phone

Cell Phone *

Email *

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Local Contact Information

Last Name *

First Name *

Middle Inital *

Address *

Home/Work Phone

Cell Phone *

Email *

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Applicant

Applicant Information

Copy of Driver's License, information to be used by Police Department only.

Attach Copy of Driver’s License (Front and Back) *

Applicant's Signature *

Date