Vernon Hills Police Department - Block Party Application

VERNON HILLS BLOCK PARTY APPLICATION

RULES and REQUIREMENTS

Persons seeking to hold a block party must fill out an application and return it to the Police Department two (2) weeks prior to the date of the block party.
Each block party must designate a person to act as a liaison with the Police Department should any problems arise because of the party.
All music and excessive noise must be terminated by 11:00 p.m.
The participants at the end of the party must clean up all debris.
The Public Works Department shall leave barricades at the liaison's home on the Friday before the block party and shall pick them up from there on the following Monday. This person shall be responsible for the barricades should they become lost, stolen, or broken.
At least 75% of the homeowners on the street affected must sign the petition on the application form granting permission for the block party to be held.

Vernon Hills Police Department - (847) 362-4449
Vernon Hills Public Works Department - (847) 367-3726

APPLICATION FOR BLOCK PARTY

Date of Block Party:______________________________ Starting Time:______________________________
(This form must be completed and returned to the Police Department two (2) weeks prior to date of party.)

Name of Applicant: ___________________________________ Phone: ________________________

Address: _________________________________________ Vernon Hills, IL 60061

Street(s) to be affected: _______________________________________________________
(If only a portion of the street will be closed, please note the range of the addresses affected.)

Contact person responsible for Block Party: (Barricades will be dropped off and picked up from this address by the Public Works Department before the party. This person will be responsible for the barricades should they become lost, stolen or broken)

Name: _________________________________________ Phone: (home) ___________________

Address: ______________________________________ Phone: (work) ____________________

Number of people expected to attend: ___________ Approximate number of children:* ___________
*If circumstances permit, a representative from the Vernon Hills Police Department will stop by for a visit.

PETITION
We, the undersigned, constitute at least 75% of the homeowners whose homes border the block cited above, do hereby agree to have the street blocked off for a block party to be held on the above date.

SIGNATURES & ADDRESSES
__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________ (use space below for more signatures if needed)

***For Official Use Only***

Number of homes affected:_________Number signed:__________ = ________%

Approved by: __________________________________ Date: ________________________________