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Village of Skokie Special Event Application
Thank you for your interest in holding a special event in the Village of Skokie. Below are the materials needed to obtain a Special Event Permit for your upcoming event. Please follow the application directions very carefully and be sure to sign the application on the bottom of page five. NOTE: Your event must have final approval from the Special Events Coordinator, the Village Manager’s Office and in some cases, the Village Board. The Special Events Coordinator will assist you throughout the Special Event Permit process and will be your primary contact. You will be notified by the Special Events Coordinator if your event requires additional permits. Any questions regarding your Special Events Permit or application should be directed to the Special Events Coordinator by calling 847/933-8257.
Minimum Requirements/Criteria
Special Event Requirements
Please click the link above to review the requirements, conditions and fees for hosting a special event in the Village.
Special Event Permit Application
All applications for special events must be submitted not more than 90 days and not less than 21 days before the date for which the parade, public assembly or similar activity is proposed.
Sponsoring Organization
Name of Organization Contact
Name of Organization President
Address
City
State
Zip Code
Organization Phone Number
Organization Fax
Application Information (individual applicant, must be staff or member of sponsoring organization):
Full Name:*
Position Title:
Phone Number:*
Cell Phone Number:
Email Address*
Event Information:
Is this a carnival, circus, fair or other amusement?
1. Yes
2. No
Event name:*
Event date(s):*
Event time(s):*
Location of Event (Please include exact address):*
Will the event occur on private property? *
1. Yes
2. No
Proposed number of attendance:*
Please include a description of the event in the space provided below:*
Are street closures requested?*
1. Yes
2. No
If yes, will Village staff be setting and removing barricades on the day of the event? *
1. Yes
2. No
Are you requesting police officer services? *
1. Yes
2. No
Are you requesting street cleaning at the end of your event? *
1. Yes
2. No
Will you set up portable toilets and/or wash stations?*
1. Yes
2. No
If your event is on public property, Village right-of-way (sidewalk, walking path, etc.) or requires the use of Village services (Police, Public works, etc.), please upload a copy of your Certificate of Insurance that names the Village as an additional insured in the amount of $1,000,000.
Please carefully read the following statement and sign below.
I, the undersigned applicant, or authorized agent thereof, swear or affirm that the matters stated in the foregoing application are true and correct upon my personal knowledge and information for the purpose of requesting the Village of Skokie to issue the permit(s) herein applied for, that I am qualified and eligible to obtain permit(s) applied for and agree to pay all fees associated with my special event and any additional regulations, conditions or restrictions set forth with the Skokie Village Code, the State of Illinois and the United States of America in the conduct of the Special Event described herein. I understand that failure to supply accurate information will result in denial or revocation of applicable permit(s).
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Applicant Signature*
Date Signed*
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Organization President/Executive Signature
Date Signed
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Amplifier Use Application

Amplifier Use Application
A permit fee of $5 per day is associated with the amplifier permit. Fee is waived if the amplifier permit is in conjunction with a block party permit.
Village of Skokie Code Reference:
Section 26-1321. (a) No licensee under this article shall use, operate or employ any such device within the Village between the hours of 10 p.m. and 8 a.m. No licensee shall use or operate or employ any such device within a radius of two blocks from any hospital or church or synagogue while services are being held there. (b) No licensee shall use any device licensed under this article to make any false representations about any matter, product or project for which the sale of is prohibited by any code, statute, or ordinance. No licensee shall cause or permit to be emanated or emitted from any device licensed under this article any lewd, obscene, profane, or indecent language or sounds.
Please provide the following information (if applicable):
Event:
Date of Event:
Address of Event:
Requester name:
Phone Number:
Email:
Address of requestor:
Name of owner of amplifier:
Phone Number:
Address of Owner:
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Temporary Food Permit Application

Temporary Food Permit Application
There is no fee associated with the temporary food permit application.
Please review the Skokie Health Department Requirements for Temporary Food Handling
Temporary Food Handling Requirements
Temporary food service establishment means any food service establishment which operates for a temporary period of time, not to exceed 14 days, in connection with a fair, carnival, circus, public exhibition, or similar transitory gatherings. If your event will require multiple food service establishments, please fill out one of these permits for each food service establishment.
If you are a non-Skokie business, please attach a copy of your most recent routine food inspection report.
Please provide the following information (if applicable):
Name of business:
Type of Ownership:
Address of business:
Name of business owner and title:
Business owner's address:
Owner's phone number:
Owner's fax number:
Food to be served:
Please attach menu (if available)
Prior similar experience:
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Parade & Walk/Run/Bike-A-Thon Permit Application

Parade & Walk/Run/Bike-A-Thon Permit Application
There is no permit fee associated with the temporary parade permit application; however, there may be costs for Village staff time or services.
• If the parade is to be held by, on behalf of, or for any other person or organization than the applicant, attach a copy of written authorization to apply for the permit on behalf of such person or organization. • Samples of any advertisement or brochures to be used in advertising the proposed assembly shall be submitted with the application.
Type of assembly:
1. Parade
2. Walk
3. Run
4. Bike
Assembly route:
Please attach a map specifying the streets and route.
Dispersion area:
Dispersion completed by:
Number of units:
Individuals:
Motor driver:
Animals:
Marching bands:
Other:
Floats:
Float construction location:
What portion of the streets traversed will be occupied by the assembly?
What interval of space will be maintained between units of the assembly?
How long will it take the assembly to clear the broadest intersection?
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Raffle Permit Application

Raffle Permit Application
A permit fee of $20 is associated with the raffle permit.
If the drawing location is not owned by the sponsoring organization, the property owner will also be required to obtain a raffle license. • It is the responsibility of the raffle licensee to notify the Community Development Department – Building Division at 847/933-8223, of any changes in the following information as they occur. • Upon completion of the raffle drawing, you must present to the Village of Skokie a statement which itemizes your gross receipt, expenses and net proceeds from the raffle. All financial records for the raffle are to be kept separate and only the person authorized to conduct the raffle is to prepare and maintain the records. The Village may require that the Raffle Manager post a fidelity bond in a sum to be determined by the Finance Director in favor of your organization within one week after the license application is approved. This bond will be released when the Village receives and reviews the financial statement. • Time period chances may not be sold for more than 180 days. • NOTE: This license application, if granted, will only be valid within the Village of Skokie limits
Name of property owner where raffle will be held:
Address of property owner:
Type of organization:
1. Religious
2. Charitable
1. Labor
2. Fraternal
1. Educational
2. Veterans
Name of organization:
How long has the organization been in existence:
Name of raffle manager (must be a member of organization):
Address of organization:
Phone number of organization:
Fax number of organization:
Date of drawing:
Amount of each raffle chance (not to exceed $200 each):
Time period chances will be sold:
Time period chances will be sold: Start Date
—
Time period chances will be sold: End Date
Total number of days:
List of prizes with retail value:
Aggregate retail value of all prizes:
How will the proceeds be used?
Has anyone in your organization been convicted of a felony, been a professional gambler or gambling promoter? If yes, explain.
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Tent Application

Tent Application
There is a permit fee of $50 per tent ($75 if tent has electricity).
Submittal of this application does not entitle application to begin work. • Please include with this application: 1. A copy of the flame certificate of flame resistant material. 2. Two copies of the site plan showing the location of the tent. • The Village of Skokie Fire Department will inspect the tent on the day of its installation. Direct questions regarding tent installation may be directed to the Community Development – Building Division at 847/933-8223.
Property address (tent location):
Owner of property:
Address of property owner:
How many tents:
Size of tents:
Will tent have electricity?
If yes, name and address of electrical contractor
Phone number of contractor:
Fax number of contractor:
Work description:
Property owner name:
Please upload a copy of the flame certificate of flame resistant material and site plan here.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Special Event Application

Steps

Step One

Amplifier Use Application

Temporary Food Permit Application

Parade & Walk/Run/Bike-A-Thon Permit Application

Raffle Permit Application

Tent Application

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