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2. Complete and submit this application to request closure of a city street at least 2 weeks before the event. Certificates of insurance naming the city as additionally insured must be emailed, mailed or faxed to 607-274-6587 to the Superintendent's Office. PLEASE NOTE: this form is not for street permit type street closures (construction, tree removal, etc.), it is only for neighborhood and community events.

6. First Name*
7. Last Name*
9. Email*
11. Daytime Phone*
13. Fax
15. Address
17. City
18. State
19. ZIP
23. Issue / Problem Location Address*
25. Unit
27. Provide any additional information on problem location.
29. Sponsoring Organization
31. Name of Street(s) to be Closed*
    Please list crossing streets (i.e. close Cayuga Street from Green Street to Seneca Street).
33. Purpose of the Event*
35. Date & Time of Event*
    Date & Time of Event Start Date

    Date & Time of Event Start Time

    —

    Date & Time of Event End Date

    Date & Time of Event End Time
37. Number of Expected Participants
39. Will amplified sound be utilized?

    1. Yes
    2. No
41. Are special provisions requested? (i.e. electric, traffic control, etc.)

    1. Yes
    2. No
43. If special provisions are requested, please explain your request.
45. Notes
    Notification of approval or denial will be mailed to the applicant prior to the event, as well as the Mayor's Office, Police and Fire Departments and Streets and Facilities.
    
    If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.
    
    Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.
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47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field