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�-:�. �rsr <br /> R��'�Oad <br /> C����rQalifornia <br /> ��i6Ftr44d 1461 <br /> Temporary Sfeeet Closure Af��lication <br /> lnstrucfians: <br /> 1. Review attached Chapter 33A,Hrticie �l, of the City Code, <br /> 2. Fill o�►t appiicatian form comp(etely. <br /> 3. Qbtain signed approval for ciosure by majority of the residents/businesses on the <br /> block affected. <br /> 4. AEtach a diagram of the area involved and fhe streets#o be closed. Jndicate the <br /> proposed ptacemeni of barricades, include houses/businesses and fheir street <br /> numbers. <br /> 5, Refurn compfeted fiorms to the police department—attsnfian Sgt. S#eve Blanc, <br /> st3laE�c c�r red�vondcity_org/fax 65a-780-7149 <br /> Coordinator of Acfivity: Angie Edge <br /> t-lome Address:_1428 EI Camino Nigusra Miipitas, CA <br /> Te I aphon e: 408-500-87 77 <br /> 8usit�ess Acidress:,__853 Alma 5t, Pal�A1to, CA 9430'i Telephane:_408- <br /> �00-8777 <br /> Name and description of activity planned: Viciea fifming forAficanfa <br /> {v✓ww.alicaillr�.carn} on the waikv�ray of Middlefield Rd throughout fhe <br /> day <br /> Date of Activity: 06/21/'f2 Hours:�Gam=-7pm(�pprox.) <br /> !. <br /> Streets to be cfosed: Middiefield Rd_ tTheatre Waya��N�.� � pY"� <br /> �,��,�' <br /> tJearest intersecfing streets Broadway&Wins}ow <br /> Es#imated number of persons to attend: 21 <br /> Are charitable gifts, gratu9ties, or offerings goiny to be solicited or accepied? No� <br /> WiU#ood, bevefages,or other marchandise be on sale?_Na <br /> A speciai an-sale permit for alcohalic beverages is required. Will you be sel(ing alcoholic <br /> beverages? No^„_ <br /> 1 <br />