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2. To request permission for a temporary street closure, please fill out this form. Please allow a minimum of 5 business days ahead of your proposed event when applying for a block party/street closure. Please note: in case of emergency, access for emergency vehicles must be provided during your event, so anything blocking the roadway must be easily movable.

4. Name of applicant*
5. Phone number:*
7. Applicant's address
9. Email:*
11. Street to be blocked:*
13. From (Street):*
15. To (Street):*
17. Event features*

    Please let us know if your event will have any of the following:

    1. Live music, projected music or amplification equipment
    2. Food vendors or trucks*
    3. Other entertainment (specify in the comment box)
    4. None
19. If your event has special features, please describe them:
21. Date and time of event:*
    Date and time of event: Start Date

    Date and time of event: Start Time

    —

    Date and time of event: End Date

    Date and time of event: End Time
23. I confirm that all residents of the affected area have been notified of the closure and there are no objections.*

    1. Yes

25. Once approved, you will receive a confirmation email from the Village. Barricades will need to be picked up from the Public Works department office at 1390 Willow Road between 8 AM - 3 PM the Thursday before your event if it occurs over the weekend (and two business days before the event otherwise) and dropped back off the business day after the block party between 8 AM - 3 PM. Failure to bring back barricades to Public Works will result in a $2/day charge, with a maximum of $50/barricade. Lost barricades are $50/each. Barricades are the responsibility of the person requesting the block party. For questions about barricades, call 847-716-3568. 

27. I acknowledge that I must check in with front desk staff at Public Works when picking up and dropping off barricades.*

    1. Yes
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field