2. Please complete the Special Event Application below and read City Ordinance #2004-06-18 governing Special Events in the City of Lancaster. All special events in city limits are to be accompanied by City approval and the completion of this application. Completed Application and Permit Fee are due 30 days before event date. A Late Fee will be added if Application and Permit Fee are received less than 30 days before event date. Application submittal does not guarantee permit approval. Should you have any questions, please call 972-218-1300 or email CommunityRelations@lancaster-tx.com.
3. Applicant Information
   Please complete your information.
5. First*
6. M.I.
7. Last*
9. Applicant Email Address:*
11. Primary Phone Number*
12. Secondary Phone Number*
14. Applicant's Address*
15. Apartment/Unit #
17. City*
18. State*
19. Zip*
21. Applicant Date of Birth:*
    Applicant Date of Birth:
22. Applicant Drivers License State & Number:*
24. Organization Hosting Event
    Please complete your organization's information.
26. Name of Organization
28. Organization Address
30. City
31. State
32. Zip
34. Basic Event Information
35. Name of Event:*
36. Requested date of special event:*
    Requested date of special event:
37. Requested hours of special event
    Requested hours of special event Start Time

    —

    Requested hours of special event End Time
39. On-Site Contact Name*
40. On-Site Contact Phone*
42. Location of Event*
44. Event Address*
45. City*
46. State*
47. Zip*
49. Name of insurance company*
50. Insurance account*
51. Approximate Number of Persons Attending Event Per Day:*
52. On-Site Preparation Will Begin:*
    On-Site Preparation Will Begin:

    On-Site Preparation Will Begin:
54. 501c3 Group (Non-Profit Status)*

    1. Yes
    2. No
55. Proof of non-profit status?

    1. Yes
    2. No
56. Will food be sold?

    1. Yes
    2. No
    3. Will Give Away
57. Will any public streets be closed?

    1. Yes
    2. No
59. Will alcoholic beverages be sold or provided?

    1. Yes
    2. No
60. Will toilet facilities be provided?

    1. Yes
    2. No
61. Will merchandise be sold?

    1. Yes
    2. No
63. If yes, how many barricades? ($2 Each)
64. Street Barricades Requested?*

    1. Yes
    2. No
65. Cones Requested?*

    1. Yes
    2. No
66. If yes, how many cones? ($1 Each)
68. Barricades may be checked out, picked up and returned to the Streets Division, Monday - Friday, 8:00 a.m. - 4:00 p.m. at 700 E. Main Street.
70. * Fire Personnel with ambulance services requested?*

    1. Yes
    2. No
71. If yes, why will Fire/EMS services be needed?
72. If yes, what time will Fire/EMS services be needed?
    If yes, what time will Fire/EMS services be needed? Start Time

    —

    If yes, what time will Fire/EMS services be needed? End Time
73. If yes, what assistance is needed from the Lancaster Fire Department?

    1. Fire Engine
    2. Ambulance/EMS Services
    3. Fire House
    4. Any Other Displays
75. * Police Officer(s) Visit Requested?*

    1. Yes
    2. No
76. If yes, why will Police Officers be needed?
77. If yes, how many Police Officers will be needed?
78. If yes, what time will Police Officers be needed?
    If yes, what time will Police Officers be needed? Start Time

    —

    If yes, what time will Police Officers be needed? End Time
80. * Police and Fire subject to availability due to calls for service
82. Event Location*

    1. Indoor
    2. Outdoor
    3. Both
83. Will food be served?*

    1. Yes
    2. No
84. Will food be consumed by the general public?

    1. Yes
    2. No
85. If yes, will food be sold?

    1. Yes
    2. No
87. Will animals be involved in the event?*

    1. Yes
    2. No
88. If yes, how many and what types of animal(s)?
90. Is this event open to the public or immediate residents only?*

    1. Public
    2. Immediate Residents
92. A permit is required for the following:*

    1. Tent, along with a letter of flame resistance
    2. Signage and Banner
    3. Temporary electrical inspection
    4. Temporary food permit
    5. Port-a-lets
    6. Dumpsters / Trash Barrels
    7. None Listed

    Please check all that apply to your event.
93. If you are requesting dumpsters or trash barrels, how many are needed?
94. If you are requesting Port-a-lets, how many are needed? (City use only)
96. *** Reference the City of Lancaster Master Fee Schedule for permit fees at www.lancaster-tx.com.
98. Alcoholic Beverages
    Applicants must obtain permit from the Texas Alcoholic Beverage Commission (TABC) when alcoholic beverages will be consumed.
99. Permit from TABC Upload Here
100. Event Site Plans
     A site plan including desired placement of barricades, cookers, smokers, etc. must be submitted with the special event application for all events.
101. Event Site Plans Upload Here
103. Site Clean-Up
     Site clean up is the responsibility of the applicant and must be completed immediately after or within 24 hours of the event.
104. Certificate of Insurance (COI)
     Please see sample certificate for minimum limits of insurance requirements.
105. Tents
     Any tent above 10 x 20 requires a permit approved by the Fire Marshal's office. A certificate of flame proofing must be provided to the City.
106. Street Barricades
     Barricades or parked cars should not prevent accessibility by emergency vehicles to the location in the event of an emergency. If possible, the event should take place in a cul-de-sac or dead end street, and not on a through street.
108. Electrical Equipment
     Electrical equipment must be installed, operated and maintained in a manner that does not create a hazard to life or property. All new electrical or related work performed must meet the current codes of the City of Lancaster. All electrical devices must be properly grounded to ensure safe operations. Permits and inspections are required. Extension cords must have overcurrent protection.
109. Neighborhood Notification
     An attempt should be made to notify all neighbors of the block party in order to minimize conflicts. If the block party is to be held in a cul-de-sac, it will be necessary to circulate a petition obtaining the approval of the homeowners residing in the cul-de-sac. The signed petition should be submitted with the application. Parties may not continue past 10:00 p.m. due to the possible disturbance to neighbors.
110. Signage & Temporary Banners
     Non-profit organizations may erect temporary off-premise signs which refer to an activity or function of the organization. Such sign shall not be erected for more than ten (10) days. No sign shall be placed within the City which refers to the activity or function for more than sixty (60) days. Signs shall not exceed six (6) square feet in effective area. City Ordinance does not allow for signage in rights-of-way. NO sign will be allowed within any street median. A permit shall be required for these signs. Non-profit organizations shall be permitted to erect one (1) temporary banner sign at a business location two (2) times per calendar year. Such signs shall be erected a maximum fourteen (14) days for each permit. A permit for such a sign shall not be issued within thirty (30) days of the date that any temporary banner sign was erected at the occupancy. The effective area for such signs shall not exceed (40) square feet.
112. Event Flyer Upload Here
113. Any Other Information Upload
114. Any other information we should know?
116. I, the undersigned, hereby confirm that the information stated above is true and correct to the best of my knowledge.
117. Signature of Authorized Organization Representative
118. Date of Submittal *
     Date of Submittal
Leave This Blank:


127. 1. Receive an email copy of this form.
128. Email address

     This field is not part of the form submission.

129. Submit Submit and Print

* indicates a required field