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2. 
3. City of Alamogordo Request for a Block Party/Street Closure
5. Name of Person/Organization:*
6. Today's Date:*
   Today's Date:
8. I/we are hereby requesting approval of a block party and/or request closure of the following:
10. Street Name(s) and Numbers:*
12. Reason for Request:*
14. Starting and Ending on: *
    Starting and Ending on: Start Date

    Starting and Ending on: Start Time

    —

    Starting and Ending on: End Date

    Starting and Ending on: End Time

    Do not submit permits any earlier than 3 months prior to start of the event.

16. It is understood that if someone insists on passage through our street, we will comply, and that we will allow any emergency vehicles through if the need arises. By signing this request, I/we hereby affirm that all of the above statements are correct to the best of our knowledge, and that all the terms herein will be complied with.

    It is understood that I/we are responsible for traffic control devices. However, if assistance is required from the City of Alamogordo to provide traffic control devices for this street closure, I/we understand that we will need to make arrangements separate from this form by contacting the Alamogordo Street Dept. directly at 439-4390 at least three days prior to the event.

18. Electronic Signature:*

    Please type your First and Last Name.

20. Phone #:*
21. Email Address:
25. ___________________________________________

    City Manager

26. ____________________

    Date Approved

28. This Special Permit is pursuant to Section 29-01-090(d)(3) of the Alamogordo Code of Ordinances.
    Municode Ordinance 29-01-090(d)(3) Regulation of Special Events

30. CC: City Manager, Assistant City Manager, Public Works Director, APD, AFD, City Attorney, Applicant

32. (01/2022)

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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

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