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Do you own the property_1
How many spots are available_1
If off site parking will be utilized provide the address of the parking site and attach a written letter of permission from
YES
Attach copies of Driver s Licenses
YES
Please list the name of the charity as well as contact information for the charity
NO
YES_1
YES_2
NO_1
If Port A Johns are needed a permit must be obtained from the Health Department Call 973 208 6120
The Health Department may mandate additional Port A Johns at the event even if bathroom facilities are available
YES
YES_1
Provide dimensions for each tent
Provide fire retardant certificate for each tent
YES
50 Outdoor Gathering Permit Application fee made out to Township of Jefferson
60 Temporary Food handler Licensee made out to Township of Jefferson
54 Fire Inspection Permit made out to Township of Jefferson
Hold Harmless Agreement
Proof of Insurance naming Jefferson Township as Certificate Holder Bodily Injury and Property Damage
SITE SKETCH
Accurate dimensions delineating the entire area to be licensed
Accurate dimensions delineating parking driveways ingress and egress entrances and exits and surround
Location of vendors
Any tents stages or structures
Location of sanitary bathroom facilities
Location of garbage receptacles
Location of controlled alcoholic beverage area
Location of medical first aid facilities
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