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Instructions

- Fill out application form completely and make a drawing on back of this form or attach a map in the Party Details step indicating area to be blocked and where party will take place.
- Sign and date application.
- Include coapplicant, if any.
- Applicant and coapplicant must be at least 21 years of age.
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Date of Party
Date of Party Start Date
Date of Party Start Time
—
Date of Party End Date
Date of Party End Time
Area to be Blocked
Map
If you do not upload a map, be sure to print this form and draw it on the back of the application.
Agreement*
I (we) have read and understand the terms and conditions of the Block Party Application and agree to abide by said terms and conditions. I (we) understand that the failure of any person participating in this designated activity to abide by the terms and conditions or conduct themselves in accordance to North College Hill Ordinances or Ohio Law shall result in the revocation of this permit. Applicant further agrees to hold harmless the City of North College Hill its employees, officials, and assigns from any claim for damage which arise for any reason of the issuance of this permit.

By listing my (our) name(s) in the signature fields below I (we) understand that is electronically signing this application.
1. I (We) Agree
Applicant
Date
Date
Coapplicant
Date
Date
Chief of Police Approved
Date
Date
Mayor Approved
Date
Date

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