San Francisco Department of Parking and Traffic

APPLICATION FOR TEMPORARY STREET CLOSING (Rev. 4/95)

NOTE: Failure to fully complete this application and to provide
             the required drawing(s) may result in denial of this request. Be sure to
             return page 4, dated and signed.

Date: __________________ TSC No.: _______________________ (City use only)

Applicant: ____________________________

Address: _____________________________ Phone: _________________(daytime)

              _____________________________

Organization: _______________________________________________________

Street(s) to be closed:

a) _____________________between _______________and ______________

                   Start date/time: _______________

                   End date/time: ________________

b) _____________________between _______________and _____________

                   Start date/time: _______________

                   End date/time: ________________

c) _________________________between _______________and ____________

                   Start date/time: ____________________

                   End date/time: _____________________

Intersection closure? Specify: __________________________________________

                    Start date/time: _____________________

                    End date/time: ______________________

APPLICATION FOR TEMPORARY STREET CLOSING (Rev. 4/95)

(SIGNATURE PAGE)

Purpose of Closure or Name of Event :

             Street Fair? _____ Athletic Event? _______ Other? _________
Expected Attendance: ___________
Have these streets been closed before for this purpose? ___________
When? ______________

DISCLAIMER:

IT IS THE PERMITTEE'S RESPONSIBILITY TO COMPLY WITH ALL STATE AND FEDERAL DISABILITY ACCESS REQUIREMENTS APPLICABLE TO THE EVENT. COMPLIANCE WITH THE CITY'S PERMIT REQUIREMENTS DOES NOT EXEMPT THE PERMITTEE FROM ANY ADDITIONAL REQUIREMENTS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAWS.

Date: _________________________ Signature: _____________________________

                                                             Print Name: ____________________________

Return to: Department of Parking and Traffic
                Traffic Engineering Division
                25 Van Ness Ave., Suite 345
                San Francisco, CA 94102

IMPORTANT

If it is necessary to replace Municipal Railway trolley coaches with diesel motor coaches or to reroute Municipal Railway trolley coaches, there may be a charge.

There may also be charges or fees for the following Departments: Fire, Public Works, Public Health and Police. Please check with the appropriate agencies.

Please attach an accurate to scale drawing showing dimensions of the street, sidewalk, booths and any other objects placed; and also indicate the following:

a. streets to be closed
b. emergency access plan
c. number and location of food and/or beverage booths
d. number, location, and type of recycling containers ( events > 1,000)
e. temporary blue zones
f. portable toilets
g. stages with ramps, tents, and any other objects
h. muni routes, transit shelters and bus stops

See Section Q of ISCOT Conditions for details.

EPS (415) 346-2381 (8/24/97)