Online Permit: Temp Street Closure – City of Crossville, TN

ONLINE PERMIT APPLICATION

"*" indicates required fields

Event Sponsor*

Name*

First Last

Phone*

Email*

Date of Street Closure*

Start Time of Street Closure*

Central Time Zone

End Time of Street Closure*

Central Time Zone

Reason For Request*

Location, Route, Streets, and/or Intersections*

Map

Max. file size: 768 MB.

Please attach a map that is clearly marked, showing the location, route, streets, and/or intersection for the requested closure.

Additional Equipment

Description of any recording equipment, sound amplification equipment, or other devices used in connection with this event:

Acknowledgement*

BY CHECKING THIS BOX, YOU AGREE THAT YOU ARE THE INDIVIDUAL NAMED ON THIS APPLICATION AND THAT STATEMENTS MADE ARE TRUE AND CORRECT.

I AGREE

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