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permit request form - Hoboken NJ

permit request form - Hoboken NJ

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CITY OF HOBOKENDEPARTMENT OF HUMAN SERVICESDIRECTOR'S OFFICEDawnZinlmerMayorLeo PellegriniDirectorACTIVITYfFIELD/CAFEPERMIT REQUESTPermission is here-by granted to use:Sinatra ParkMaxwell Place ParkRoller Rink (124 Grand St.)Sinatra Park CafeSinatra Park1600 Park Avenue1500 Park AvenueMulti Service Center (Gymnasium)Skateboard ParkPier A. ParkLittle League Fieldon---------------------------at---------------------------------(Date)(Time)for ----------------~---------------------------------------------(listevent)Name of applicant:Address of applicant:__Telephone number of applicant: Day: -:Evening: _Cell phone number: Email address: _Note: Permit must be in the possession of individual/organization at all times whenusing any of the above facilities.***RULES AND REGULATIONS GOVERNING THIS FACILITY***1. Application must be received no later than thirty (30) day prior to the event.2. All organized ball games shall be limited to 2 Yz hours.3. The <strong>permit</strong>ee shall be responsible and clean the area after the event or a service charge will beaccessed.4. The <strong>permit</strong>ee shall be bound by all park rules, all applicable ordinances and any and all <strong>permit</strong>restrictions.5. All persons to whom a <strong>permit</strong> is issued shall be liable for any loss, damage or injury to any personor persons whatsoever by reason of negligence of the <strong>permit</strong>tee. The City of <strong>Hoboken</strong> shall not beliable in such instance.(continued)94 Washington Street, <strong>Hoboken</strong>, New Jersey 07030 Telephone #201-420-2012 Fax #201-239-6631


CITY OF HOBOKENDEPARTMENT OF HUMAN SERVICESDIRECTOR'S OFFICEDawn ZimmerMayorLeo PellegriniDirector6. The Director of the Department of Health and Human Services or the Recreation Superintendenthave the authority to revoke a <strong>permit</strong> upon a finding of any violation hereunder or upon goodcause.7. No food or beverages will be allowed on athletic fields.8. Applicants are to adhere to all other Park Regulations as per Section 58-19 through 58-21.758-21.2BB - NO ALCOHOLIC CONSUMPTION OR CARRYING OF UNSEALEDALCHOLIC BEVERAGE CONTAINERS SHALL BE PERMITTED IN ANY PARK.Permit fee - There is a $125.00 (per hour) application fee for any individual <strong>request</strong>ing use of theabove referenced facilities. (Please make your check or money order payable to: "The City of<strong>Hoboken</strong>").1 ote: Any non-profit organization or school shall have their fee waived but must supply aninsurance rider indemnifying the City of <strong>Hoboken</strong> or sign a waiver which would hold the Cityharmless.If you have any questions regarding this <strong>permit</strong> or would like to cancel your event, please callthe Division of Recreation at (201) 420-2094 or the Department of Health and Human Services at(201) 420-2012.Applicant's Signature Dated:Superintendent of Recreation or designee Dated:Director of Human ServicesDated:Permit fee: '------------------------Check/money order # _94 Washington Street, <strong>Hoboken</strong>. New Jersey 07030 Te1ephone #201-420-20 12 Fax #201-239-6631

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