Road Closure and Event Permit

APPLICATION FOR ROAD CLOSING AND EVENT PERMIT

This application should be filled out at least 14 days in advance of the requested road closing date (or date of substantial interference with the use of road) in order that agencies involved in processing may have time to review the application. This permit must be approved by the Blue Earth County Highway Engineer and the Blue Earth County Sheriff.

NAME OF APPLICANT:

APPLICANT ADDRESS:

Street, City, State, Zip Code

APPLICANT TELEPHONE:

(000) 000-0000Format: (000) 000-0000.

APPLICANT EMAIL ADDRESS:

(example@example.com) A copy of this application and further correspondence will be through this email address.

SPONSORING ORGANIZATION:

SPONSOR ADDRESS:

SPONSOR TELEPHONE:

(000) 000-0000Format: (000) 000-0000.

OCCASION:

Select the type of occasion or "other" and add a description of your occasion.

OTHER OCCASION DESCRIPTION:

Describe your occasion

DATE OF EVENT:

Date

Does this event require closing a road?

TIME OF ROAD CLOSING:

e.g., 06:00 AM, 10:00 PM, etc.

AM/PM Option

TIME OF ROAD OPENING:

e.g., 06:00 AM, 10:00 PM, etc.

AM/PM Option

Briefly describe necessity of using the road and/or need for closing:

Upload a Map of event location or route:

Is the event within city limits?

Select a City to Notify:

City email:

example@example.com

As a duly authorized agent or representative of the sponsoring organization, I hereby make application for a permit to use or close County Road No.County Road No. or County State Aid Highway No. County State Aid Highway No.for the purpose described on this application and in accordance with the Regulations for Road Closing as described below.

Applicant Acknowledgement:

First NameLast Name

Applicant Acknowledgement Date:

Date

1. Applicant is required to have signed approval by a City Official if closing a city street.

2. Set up and remove barricades. Barricades may be borrowed from the County Highway Department for public events as approved by the County. There is no rental charge, but if damaged or destroyed, a $100.00 replacement charge will be required.

3. Road not to be closed after dark.

4. Leave road, boulevard, and adjacent property in a clean manner.

5. Any complaints received by the local Police Department or County Sheriff may cause the approval to be denied and the street to be re-opened to traffic (block parties).

6. For emergency reasons, at no time is the street to be blocked inside the closed area with vehicles.

7. The applicant hereby agrees to indemnify, save, and hold harmless the County and all of its agents and employees of and from any and all claims, demands, actions, or causes of action of whatsoever nature or character arising out of or by reason of the road closing. Further, the applicant agrees to defend at its own sole cost and expense any action or proceeding commenced for the purpose of asserting any claim of whatever nature or whatever character arising as a result of the road
closing.

ADDITIONAL APPLICANT REQUIREMENTS MAY BE NOTED BY ANY APPROVING ENTITIES BEFORE THIS APPLICATION RECEIVES FINAL APPROVAL.

CITY OFFICIAL SECTION ONLY

Do you approve this request?

As a duly authorized agent or representative of the sponsoring city, I hereby approve and agree to provide city oversight and traffic control for a permit to use or close County Road No. {input41[1]} or County State Aid Highway No. {input41[2]} for the purpose described on this application and in accordance with the Regulations for Road Closing as described below.

City Official Name:

First NameLast Name

City Official Date of Approval or Denial:

Date

SPECIAL REQUIREMENTS:

For City or County use ONLY

BEC HIGHWAY SECTION ONLY

BEC Highway Acknowledgement:

First NameLast Name

Blue Earth County Highway Engineer Date of Acknowledgement:

Date

BEC SHERIFF OFFICE SECTION ONLY

BEC Sheriff Acknowledgement:

First NameLast Name

Blue Earth County Sheriff Date of Acknowledgement:

Date

Click on the " Submit " button below to send this application for review and approval.

Click on the "Preview PDF" button to review and download a copy of the submitted application form for your records.

A PDF of the submitted application form will also be emailed to: {applicantEmail}

After the permit is processed by all entities, a completed form will be emailed to: {applicantEmail}.

Click on the " Submit " button below to send this application to the BEC Highway Dept. and BEC Sheriff Dept. for review and approval.

Click on the "Preview PDF" button to review and download a copy of the updated application form for your records.

After the permit is processed by all entities, a completed form will be emailed to: {pleaseEnter}.

Click on the " Submit " button below to send this application to the BEC Sheriff for review and approval.

Click on the "Preview PDF" button to review and download a copy of the submitted application form for your records.

After the permit is processed by the BEC Sheriff, a completed form will be emailed to all parties.

Click on the " Submit " button below to finalize this application.

Click on the "Preview PDF" button to review and download a copy of the submitted application form for your records.

After the permit is processed by all entities, a completed PDF form will be emailed to BEC Highway, the Submitter and if required, the City the event is being held in.

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BLUE EARTH COUNTY MINNESOTA

REGULATIONS FOR ROAD CLOSING