9.a) Scandia PTO Fun Run Permit Meeting Date: 2/16/2010
Agenda Item: q �l
/ �
City Council Agenda Report
City of Scandia
14727 209�' St. North
Scandia, MN 55073 (651)433-2274
Action Requested: Consider approving a Special Event Permit for the Scandia PTO Fun
Run on May 22, 2010.
Deadline/Timeline: N/A
Background: • The Scandia PTO will be holding a IOK, SK and 1K run as a
fundraiser on May 22, 2010. The PTO has applied for a Special
Event Permit; the first such permit to be reviewed under the
provisions of Ordinance No. 115 which became effective on
September 17, 2009.
• The PTO has reserved the Warming House on the Community
Center grounds, where registrations, vendors and toilet facilities
for the event would be located. About 350 participants are
expected. The run will follow a route south on Olinda Trail to
202°d Street, then east to Oxboro Ave., then north to Oakhill Rd,
with the finish line near the city T-Ball field (for the SK route.)
The longer l OK route will follow a route south on Olinda Trail to
185`�' Street, east to Old Marine Trail, then north on Old Marine
TraiU Oxboro to Oakhill.
• If this event were held entirely on the Community Center grounds,
a Special Event permit would not be required. Instead, a Park
User Permit would be required and the event would be exempt
from the Special Event permit requirement. Because the run itself
extends to the public roads far beyond park property, the Special
Event permit was deemed to be the appropriate vehicle for city
approval.
• The Special Event Permit Application was submitted on January
28, 2010. Additional information was requested, and submitted on
February 3. It appears that all ordinance requirements have been
met, with the exception that the certificate of insurance submitted
does not name the City of Scandia as an additional insured.
• Staff contacted local utility companies and the county highway
department to determine if there are any utility or road projects
scheduled that could impact the proposed route, and found no
expected conflicts.
• The route has been preliminarily reviewed by the Deputy Sheriff
Majeski. He will make recommendations to the PTO on the
location of flaggers and other traffic controls along the route.
Page 1 of 2
02/12/10
• The Washington County Public Works Department requires an
"obstruction permit" for events held on Washington County
Roads. The permit requirements have been provided to the PTO.
• The PTO has proposed to provide 3 portable toilets on the
Community Center grounds. The bathrooms in the warming house
would also be available. Staff recommends that one of the
portable toilets be placed near the intersection of Oakgeen
Avenue and 185�', or another location approximately in the middle
of the l OK route. A location near a water stop would be logical.
The PTO may need to secure the permission of the property
owner, depending on the location selected.
Recommendation: Staff recommends that the following conditions be attached to the
permit:
1. The event shall be held as described in the application received
on January 28 and amended on February 3, 2010, except as
provided by the conditions of approval.
2. The route and traffic control shall be approved by the
Washington County Sheriff's Department and a permit issued
by the Washington County Public Works Department.
3. A total of three portable toilets—two at the Community
Center, one approximately midway in the l OK route—shall be
provided.
4. The location of the any tents, stakes, signs etc. at the Scandia
Community Center shall be approved in advance by the
Building Official. Event organizers shall request any utility
locates that may be required.
5. Any vendors present on the site shall possess a sales and use
tax permit if required by Minnesota law.
6. The PTO shall provide the City with a certificate of insurance
naming the City of Scandia as an additional insured.
Attachments/ • Special Event Permit Application
Materials provided:
Contact(s): Todd Rachel, Scandia PTO
763 213-3553
Prepared by: Anne Hurlburt, Administrator
(PTO Fun Run Event Permits)
Page 2 of 2
02/12/10
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14727 209'h Street North
Scandia, Minnesota 55073
(651)433-2274 wN�w.ci.scandia.mn.us
Special Event Permit Application
INSTRUCTIONS: Fill out this form completely,sign it and include all required attachments. If additional space is
needed,attach additional sheets. Submit to the City of Scandia at least 30 days prior to the date of the event with the$25.00
permit fee. You will be notified at the time of application of the date for City Council consideration of the request.
1. Name, purpose and description of event:
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Location address: �;y��,�ua�/jJ ��,r.'t�,9 �./f✓I,c�iti�G� �{vut� �/li�c%v/JS
Date(s): ,7�? /YIAJ �?Oj�s
Event starting Time: ��iy► Event ending time: /U�C�C>>✓
Set-up start date and time: �,�i� „�� /L1�9,/ ,�c>/'Cr
Dismantle by- date and time: .'L��r�r „�„7 �Irty „?�y/�
Anticipated number of participants and/or spectators: 3.5G7
If there is a fee or donation required as a condition of �
attendance, please describe: ` t�u /C��ISlYf�fiTl�� �E /�,2 /,�t,lof/
2. Attach sketch or site plan showing the location of the following as applicable:
route(beginning/end, direction of travel, _ food concession areas (cooking, serving,
traffic control points) consumption)
_ ticketing/registration/entry locations _ alcoholic beverage concession area
_ entertainment or stage locations other concession areas
_ portable toilet facilities _ size and location of any tents or structures
_ fencing locations _ trash/recycling receptacle area
_ parking areas for participants/spectators _ fireworks or pyrotechnics site
_ sign locations first aid facilities
_ speaker(sound amplification) locations _ other as may be applicable
City oJScandia, Special Event Permit Application, Page 1 of 7
3. Applicant information:
Name: �I� ��j�"G Title: �A/
/"'' ✓t-%�- Drlr,�✓.%�-E;Z
Address: .�%j,2C� .1.�'L/1r��9,✓ /qi/f�
Phone: _ ��;�� „?I,� .��5'.3 ��,,�^�'� Cell:
E-Mail: rl�l,�/�i�C"�'fG� ����'7'j'I/t��, �a/�
Affiliation/organization: $�C.��l'I `J/�
Are you an authorized applicant for this organization? Yes � No
Will this person have authority to cancel or modify event plans? Yes � No
Will this person be present at the event and in charge of the event
at all times? Yes No ✓
If no,provide contact information for person who will be the
responsible party on the day of this event
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Name: G13 �Ei�!/�c�/17fi✓ Title: �n/ �(�r�/ C�i�`i✓t
Address: �G��S.S� J i,�N� ��� 11� ��Y1rSr �.f-��' �',�t/ �S'S"o.�,I_._
Phone: �%� J'�/ ��j'S"�, Cell:
E-Mail: �C'Er�lL1U�ti%?.�i✓� f=%r�i�ti7�E/Z.,/�r: �c/t'�
4. Entertainment:
Describe entertainment plans. If there will be music, sound amplification or any other noise impact,
please describe including the intended hours.
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5. Sanitation/potable water:
Describe the toilet and hand washing facilities present on the site (type, number& location) as well as
temporary/portable facilities to be provided. Describe the source of potable(drinking)water.
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City of Scandia, Special Even1 Permit Application, Page 2 of 7
6. Parking and traffic control:
Describe the location and number of parking spaces available. Describe arrangements that have been
made for traffic control.
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7. Emergency/medical services:
Describe measures that will be taken to ensure emergency vehicle access (police, fire, ambulance)to
the event area.
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8. Security/crowd management:
Describe your proposed procedures and staffing for the event operations and crowd control.
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9. Trash/recycling,event clean-up:
Describe the number, type and location of trash/recycling containers to be provided. What provisions
have been made for clean-up of the site and surrounding area after the event?
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Name of trash/recycling hauler: ��lf'.� S�,�y
10. Lighting:
Describe any temporary or permanent lighting that will be added for the event.
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Crty ofScandia, Special Event Permit Application, Page 3 of 7
11. Temporary structures or construction.
Describe any tents, canopies, enclosures, stages, platforms, scaffolding, risers, bleachers, fences, and
any other type of temporary structure or construction for the event. Event sponsor is responsible to
obtain any building or electrical permits that may be required for such consiruction.
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12. Advertising and promotion.
Describe how this event will be advertised and promoted. Describe any signs(size,type, location.)
All signs must comply with Scandia Development Code Chapter 2 Section 9.13 including a permit if
required.
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13. Noise:
Describe expected type, duration and timing of any noise sources. Describe measures to be taken to
ensure compliance with city noise ordinance (Ordinance No. 65.)
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14. Fireworks or pyrotechnics:
Will any fireworks or pyrotechnics be used at the event? Yes No /t
If yes, describe in detail. Fire Department approval will be required.
City of Scandia, Special Event Permit Application, Page 4 of 7
15. Food and beverages:
Will alcoholic beverages be served? Yes No �
If yes, describe the type of beverages and the status of the liquor license:
Will food and/or non-alcoholic beverages be served? Yes X No
If yes, describe what will be served and any plans for cooking food in the event area, including fuel
source to be used:
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���' = /��� , irt�fl- ,fi�r� �ti��.-�� ,r�/�1i�.1
sm��' � �,�r y��
Has a license been obtained from the Washington County
Department of Health and Environment? (please attach) Yes No�
16. Other concessions:
Describe what vendors or concessionaires you will allow at the event, and how you intend to regulate
and monitor their activities.
� �
I�%��� ,�� i���,�r,��- �,��a�r�� ��-�?F��� .�i- �r3 r�ahE. ���- si�.�
l�r�c /'�,.�,✓,�2'1 1�:����f.
17. Gambling:
Will there be any gambling(raffles,pull-tabs, bingo, etc.) at the
event? Yes No /�
If yes, a lawful gambling permit will be required as provided by state law and Scandia Ordinance No.
100. Describe the gambling activity and the status of the gambling permit.
18. Workers compensation compliance:
In accordance with Minnesota Statutes all applicants for license and permits to operate a business in
Minnesota must submit acceptable evidence of compliance with workers' compensation insurance
requirements. Please complete the certificate of compliance and attach to this applicalion. ✓
City of Scandia, Special Event Permit Application, Page S of 7
19. Indemnification:
Ordinance No. 119 requires that a special event permit holder shall agree to defend, indemnify and
hold the City, its officers and employees harmless from any liability, claim, damages, costs,judgments,
or expenses, including attorney's fees, resulting directly or indirectly from an act or omission
including, without limitation,professional errors and omissions of event promoter, its agents,
employees, arising out of or by any reason of the conduct of the activity authorized by such permit and
against all loss caused in any way by reason of the failure of the event promoter to fully perform all
obligations under this ordinance. Please complete the release and indemnification agreement and
attach to this application. ✓
20. Insurance
As a condition of the granting of a permit for a special event conducted on public property or public
streets or parking lots,the permit holder shall provide to the City a public liability insurance policy
naming the City as an additional insured entity with limits of not less than one million dollars per
occurrence. Please attach the certificate of insurance to this application. ✓
THE MINNESOTA DATA PRACTICES ACT requires that we inform you of your rights about the private
data we are requesting on this form. Private data is available to you, but not to the public. We are requesting
this data to determine your eligibility for a permit from the City of Scandia. Providing the data may disclose
information that could cause your application to be denied. You are not legally required to provide the data;
however, refusing to supply the data may cause your permit to not be processed. Your residence address and
telephone number will be considered public data unless you request this information to be private and provide
an alternative address and telephone number. Please sign below to indicate that you have read this notice:
�
�`� �
Signature: Ch/� � C-�� �'- � Date: �� �//i(,�/ �C/�O
I request that my residence address and telephone number be considered private data.
My alternative address and telephone number are as follows:
Address: Telephone:
Acknowledgement/Signature:
I hereby acknowledge receipt of a copy of this application form and Ordinance No. 119, Establishing Rules and
Regulations for Special Events, and agree to abide by the ordinance and any other conditions that the City of
Scandia may place upon issuance of this permit.
� �/ �f�
, �
Signature: �`j �'c� C� �/�CC�� ✓, Date: �3 ��t.� �OjC
City of Scandia, Special Event Permit Application, Page 6 of 7
Certifica#e of Compliance
tl�innesota 1lWorkeo-s' Compensation Law
PRINT IN INK or TYPE.
Minnesota Statutes, Section �76.182 requires every state and locai lice�sing agency to withhvld the issuance or
renewal of a license or permit to operate a busir�ess or engage in any activity in Minnesota until the appiicant
�resents acceptable evidence of compliance with the workers' compensation insurance coverage requirement of
Minnesota S#atutes, Chapter 176. The required workers' compensation insurance information is the name o# the
insurance c�mpany, fhe policy number, and the dates of coverage, or the permit to self-insure. If the required
information is not provided or is falsely stated, it shall result in a $2,000 penalty assessed against the applicant by
the commissioner of tt�e Department of Labor and Industry.
A vafid workers' compensation policy must be kept in effect at al1 times by employers as required by law.
BU5INESS NAME{Individual name only if no company name used) LICENSE OR PERMIT NO(iI applicable)
5 r�No;/� �i z;�i ,4r� � Sc',s�t /��2£-.vr " .F.A��it �ll��ne,✓ NA
DBA(doing business as name)(if applicable)
•--�---.
8U511VESS ADDRESS(PO Box must include sireet address) CITY STATE ZIP CODE
��y�3��� s� ti��>,F i,� �v 5����,� ��� ss�7�
YOUR LICENSE OR CERTIfICATE WItL NOZ BE 1SSUED WIT�iOUT THE
FaL�OW1NG I(VFO�MATION. You must complete number 9, 2 or 3 beiow.
NUMBER 1 COMPLETE Tii1S PORTiON IF YOU ARE INSURED:
INSURANCE COMPANY NAME(not the insurance agent)
WORKERS'COMPENSATION 1NSURANCE POLICY NO. EFFECTIVE DATE EXPIRATION DATE
NUMBER 2 COMPLETE THIS PORTION IF SELF-INSURED:
❑I hav�attached a co y of the permit to self-ir�sure.
NUMBER 3 COMPLETE THlS PORTION IF EXEMPT:
I am not required to have workers'compensation insurance coverage because:
��1 have no employees.
❑I have employees but they are not covered by the workers'corrapensat�on law. (See Minn. Stat. § 176.041 for a list of
excluded employees.)Explain why your employees are not covered:
❑O#her.
ALL APPLICANTS COMPLETE THIS PORTION;
1 cer#ify that the information provided on this form is accurate and complete. If I am signing on behalf of a business, I
ce�tify ihat I am authorized to sign on behaif of the business.
APPj�AN7 SIGNATUR (mandatory) TITLE DATE
/ "
J������"���=�,� C����✓I�� �� �.
.�,i.J ,;�/O
NO7E: If your Workers' Compensation policy is cancetled within the license or permit period, you must notify the
agency who issued fhe license or permit by resubmitting#his#orm.
This maierial can be made available in different forms, such as large print, Braille or on a lape. To request, call 1-800-342-5354{DIAL-DLI)Voice or
7DD{651)297-4998.
MN UC D4(11l08)
-SPECIAL EVENT SPONSOR-
RELEASE AND INDEMNIFICATION AGREEMENT
CITY OF SCANDIA, MINNESOTA
THIS IS A RELEASE OF LIABILITY INDEMNIFICATION AGREEMENT. SPECIAL
EVENT PERMIT HOLDER MUST READ CAREFULLY BEFORE SIGNING.
In consideration for being permitted to engage in the following special event activities in Scandia:
��1�i�1/l,ti �rr�„� � � ! %�ti�
,�U�,�� Sc,���,� f��� )
Special Event Permit Holder hereby acknowledges, represents, and agrees as follows:
A. We understand that the above described activities are or may be dangerous and do or may
involve risks of injury, loss,or damage to us and/or third parties. We further
acknowledge that such risks may include but not be limited to bodily injury,personal
injury, sickness, disease,death, and property loss or damage,arising from the following
circumstances,among others:
(Special Events Permit Holder initials here) J��(
B. If required by this paragraph, we agree to require each participant in our special event to
execute a RELEASE AND INDEMNIFICATION AGREEMENT for ourselves and
for the City of Scandia, on a form approved by the city.
Participant Release and Indemnification required?YES_NO_
(Special Events Permit Holder initials here) �-�
C. We agree to procure, keep in force, and pay for special event insurance coverage, from an
insurer acceptable to the City of Scandia, for the duration of the above described
activities.
(Special Events Permit Holder initials here) ��
1
D. By signing this RELEASE AND INDEMNIFICATION AGREEMENT,we hereby
expressly assume all such risks of injury, loss, or damage to us or any related third pariy,
arising out of or in any way related to the above described activities,whether or not
caused by the act, omission, negligence, or other fault of the City of Scandia, its officers,
its employees, or by any other cause.
(Special Events Permit Holder Initials here) / ���
E. By signing this RELEASE AND INDEMNIFICATION AGREEMENT,we further �
hereby exempt, release and discharge the City of Scandia, its officers, and its employees,
from any and all claims, demands, and actions for such injury, loss, or damage to us or to
any third party, arising out of or in any way related to the above described activities,
whether or not caused by the act, omission, negligence,or other fault of the City of
Scandia its officers, its employees,or by any other cause.
(Special Events Permit Holder Initials here) U%�
F. We further agree to defend, indemnify and hold harmless the City of Scandia, its officers,
employees, insurers, and self insurance pool, from and against all liability,claims,and
demands, court costs and attorneys fees, including those arising from any third party
claim asserted against the city, its officers, employees, insurers or self insurance pool, on
account of injury, loss or damage, including without limitation claims arising from bodily
injury,personal injury, sickness,disease, death,property damage or loss, or any other
loss of any kind whatsoever,which arise out of or are in any way related to the above
described activities, whether or not caused by our act,omission, negligence,or other fault
of the City of Scandia, its officers, its employees, or by any other cause.
(Special Events Permit Holder Initials here)_ ,�oi'�l
G. By signing this RELEASE AND INDEMNIFICATION AGREEMENT, we hereby
acknowledge and agree that said Agreement extends to all acts, omissions, negligence,or
other fault of the City of Scandia, its of�icers,and/or its employees,and that said
Agreement is intended to be as broad and inclusive as is permitted by the laws of the
State of Minnesota. If any portion thereof is held invalid, it is further agreed that the
balance shall, notwithstanding, continue in full legal force and effect.
(Special Events Holder Initials here) ����
H. We understand and agree that this RELEASE AND INDEMNIFICATION
AGREEMENT shall be governed by the laws of the State of Minnesota and that
jurisdiction and venue for any suit or cause of action under this agreement shall lie in the
courts.
(Special Events Permit Holder Initials here) �J�
L T'his RELEASE AND INDEMNIFICATION AGREEMENT shall be effective as of
the date or dates of the applicable special event, shall continue in full force until our
responsibilities hereunder are fully discharged, and shall be binding upon us, our
successors, representatives, heirs, executors, assigns, and transferees.
�� %
(Special Events Permit Holder Initials here) ��1 /� �
2
IN WITNESS THEREOF,THIS RELEASE AND INDEMNIFICATION AGREEMENT is
executed by the special events permit holder, acting by and through the undersigned,who represents
that he or she is properly authorized to bind the Special Events Permit Holder hereto.
PRINTED NAME OF SPECIAL EVENTS PERMIT HOLDER:
��,1� ���1f�L
PRINTED NAME AND TITLE OF PERSON SIGNING ON BEHALF OF SPECIAL EVENTS
PERMIT HOLDER:
:-'�
Name � ��/� f//,�rt,f�"L
Title �n/ C��'G��tJ/�,'r�
_�,
Signature , ��.�� 1i'� Gf
Date_ <��� �.�.✓ :.���/�}
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From: a.hurlburt(a�ci.scandia.mn.us
To: mlrachel(�a,hotmail.com
CC: bcgemuenden(�a,frontiernet.net
Subject: Special Event Permit Application, Scandia PTO Fun Run
Date: Fri, 29 Jan 2010 12:23:06 -0600
Todd—
I've given your application for a Special Event Permit for the fun run a preliminary review, and
find there are several items for which we need a bit more information:
➢ The application notes that there will be a fee for participants, but did not specify the
amount. Do you know how much it will be?
$I S 1 K all ages
$20 SK cP� IOK 13 and under
$25 SK c� IOK 13 and up
➢ No route map was supplied. I see the start and end marked on the aerial photo, but we
need a map showing the entire route.
o See attacl:ed map.
➢
➢ The application states that there will be approximately 5 signs located at major
intersections. We need to know the size and exact locations. You could go ahead and
apply for the sign permit now, which would give us the needed information.
o See attached permit information that includes locations.
o Signs size not to exceed 12 square feet in size.
➢
➢ You have not supplied a certificate of insurance.
o See attaclted copy of certificate of insurance.
➢
➢ Will participants sign any sort of a release when they register? We would like to review
the release and make sure it also covers the City. I can have an attorney review your
draft language if that will help.
o See attached registration form which includes Waiver and Re/ease
➢
➢ Have you made contact with the Sheriff's office about traffic control? I will be asking
them to comment on the application when it is complete, so you may want to make that
contact ahead of time so you can anticipate any requirements they might have.
o We have discussed with Deputy Sheriff Chris Majeski
➢
➢ Your group has also submitted a reservation form for the warming house. The rental fee
was not paid and I understand that you intend to ask the Council to waive the fee. If so,
this request should be submitted to the Council at the same time they review the Special
Event Permit. It would be helpful if you would put something in writing about that
request, and include a description of what service or in-kind contribution you would be
making in lieu of paying the fee, if any.
o We will be paying the fee this year. See attached check.
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REGISTRATION
The 2nd Annual Fun Run/Walk will take place rain or shine, Saturday, May 22, 2010. The SK & l OK Events
start at 8:30 a.m. The 1K starts at 9:45 a.m. No pets, rollerblades, or skateboards will be permitted.
**********�:**�***************�:**�********************************�****************�:*
PARTICIPANT INFORMATION:
Choose Your Event: 1K SK lOK
Name:
Gender : Male Female Birthdate (Month/Day/Year)
Address:
City State Zip Email:
T-shirt size (choose one):
Youth M Youth L Adult Small Adult Med
Adult Large Adult XL Adult XXL (add $2) I do not want a t-shirt
Non-refundable registration fee with t-shirt �uarantee(thru 5/12/10�:
$15 1 K all ages
$20 SK& lOK 13 and under
$25 SK& lOK 13 and up
Amount Enclosed: $
Waiver and Release:
I agree that if I participate in the 2nd Annual Scandia Fun Run/Walk,referred to here as the"Event"or use any Event facility or Event Premises, I
acknowledge it is a physical activity and do so at my own risk. 1 agree that I am voluntarily participating in the Event and using Event facilities or
premises and assume all risk of injury, illness, damage or loss to me or my property that might resulting, including, without limitation, any loss or
theft of personal property. I hereby consent to receive medical treatment in the event of injury,accident,and/or illness during the Event. I agree on
behalf of myself(and my personal representatives,heirs,executors,administrators,agents and assigns)to release and discharge Scandia Elementary,
the Scandia Elementary PTO, the Ciry of Scandia, volunteers, affiliates, all Event sponsors(and their affiliates, employees, agents, representatives,
successors and assigns)from any and all claims or causes of action(known or unknown)arising out of their negligence. I acknowledge that 1 have
carefully read this Waiver and Release and fully understand that it is a release of liability. By my signature below,I am waiving any right that I may
have to bring legal action to assert a claim against Scandia Elementary,the Scandia Elementary PTO,the City of Scandia, volunteers,affiliates, all
Event sponsors(and their affiliates,employees,agents,representatives,successors and assigns)for their negligence.
Signature Date
(Parent or Legal Guardians signature required if under 18 years of age)
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.�ss�ciation hisurancc�-lana�emrn�. Inc.
Yaur Pa�tner for Insui:�ncc and Ri.k Sulmion,
MEMBER CERTIFICATE OF INSURANCE ���y�o
Thank you for purchasing your insurance from AIM. This is your Member Certificate and should be kept with your permanent records.
Insured#: MN099691
NAMED INSURED MEMBER: PRODUCER NAME:
Scandia Parent Teacher Organization Association Insurance Management Inc.
Attn:Cristina DeSobrino PO Box 742946
14351 Scandia Trail North Dallas TX,75374-2946
Scandia,MN 55073
Company/Coverage Policy# Effective Dates Deductible Limits of Insurance
Homeland Ins Co of New York/BW09579 2/16/10-2/16/11 NONE Each Occurrence S1,000,000
Commercial General Liability'
General Aggregate $2,000,000
Products-COMP/OPS Aggregate $2,000,000
Personal&Advertising Injury $1,000,000
Fire Damage(any one fire) $50,000
Homeland Ins Co of New York/BW09579 2/16/10-2/16/11 NONE Any One Person $5,000
Medical(Accident Medical)• ,
A re ate $5,000
C21'tlflCBte HOIdOI': This member certificate,together with the common policy conditions,�verage
part(s),coverage form(s),and endorsements,if any,complete the above numbered
policy. Co fes of the Master Policies are v '
P a ailable u n r uest or ma
Po eq y be printed at
www.aim-companies.com
AUTHORIZED REFRESENTATIVE
�/.� .r'`��?�
aina o nan�� �-���� a iQnn� Q�F_�n��s � ��., i���� ��n nszn�
COMMUNITY EVENT SIGN PERMIT
City of Scandia
14727 209th Street North
Scandia, MN 55073
www.ci.scandia.mn.us
Phone 651 433-2274 Fax 651 433-5112
The City of Scandia has adopted a Sign Ordinance as a means to protect the natural
scenic beauty of roadsides within the city limits. In adhering to this ordinance, the City
allows a temporary sign advertising a community event after issuance of a permit by the
City Office.No more than three signs advertising the same event are permitted. Signs are
allowed for a period of no more than ten days preceding the event and ending on the day
after the event. No sign shall exceed thirty-two (32)square feet in size. Signs are
prohibited within any public road right-of-way. Signs that do not adhere to these
standards will be removed. There is no charge for a temporary sign permit.
Community Event: �C�,.�it/,�1�9- �� ��iJ
1r
Owner• f o�i� /��9�tE1�L
Address: �y9�d ��%N��✓ /��E
Phone• �� J -�/� ,3'SS_S
Location of Signs: 9� � �J�ICN/GL , �7 �- r��'NNii��
,
!?� �' GL���,p� �� �` 95� �,5 � c��,r�il L
Dates the Signs will be in Place: � � �l�9 J ��/D
We accept the conditions of this permit. We understand that any changes from these
plans must be resubmitted for approval.
� ,it"
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Owner or Representative Date
City Official Date