Special Event Permit Application

Supporting Documents

Special Event Permit Application (201 KB)

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You can pay your Special Event Permit Fee HERE.

Special Event Permit Fee (Per Event): $100.00

Special Event Permit Receipt File Upload *

Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.

Applicant Information

Business/Organization *

Occupation *

Business Address *

Phone *

Cell Phone *

Business Address *

Business Phone *

Name of Representative for the Event *

Contact Address and Cell Phone *

Identification

Driver's License Number *

Expiration Date:

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State Issued: *

Copy of valid state driver's license attached *

Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png bmp tif pdf doc docx.

Non-driver: Government-issued ID attached *

Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png bmp pdf doc docx.

Date of Birth *

Event Details

Event Name/Description *

Date: *

Expected Attendance *

Event Address/Location: *

Property Owner Information

Name: *

Address: *

Phone: *

Compliance Statements

Felony Conviction (last 5 years): *

Yes

Parking Plan (attach documentation): *

Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png bmp tif pdf doc docx.

Restroom Facilities Plan (attach documentation): *

Files must be less than 128 MB.
Allowed file types: gif jpg jpeg png bmp tif pdf doc docx.

Additional Information (if required): *

I hereby certify that the information provided in this application is true and correct. I agree to comply with all Village of Salado ordinances and regulations regarding the holding of special events.

Applicant Signature *

Date *

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Purpose/Authority *

The Village of Salado may request your Social Security number (SSN) for the limited purpose of verifying your identity and processing your special event permit application. Disclosure of your SSN is VOLUNTARY unless otherwise required by state or federal law. (Federal Privacy Act of 1974 (5 U.S.C. 552a), Texas Government Code 559.003).

Use of SSN *

Your SSN will only be used internally for permit processing. It will NOT be published, used for commercial purposes, or disclosed to the public.

Access and Disclosure *

Access to your SSN is limited to Village employees or authorized agents whose duties require the use of that information. Your SSN will be treated as confidential and will not be distributed broadly or used for unrelated purposes.

Security and Retention *

We will maintain reasonable physical, electronic, and procedural safeguards to protect your SSN from unauthorized access or disclosure. Once the SSN is no longer needed for permit processing or legal retention requirements, it will be securely destroyed or redacted.

Consequences of Refusal/Right to Redact *

If you refuse to provide your SSN (when legally voluntary), your permit application may be denied or delayed. Under Texas las (e.g. Tex. Gov't Code 552.147), you may request that your SSN be redacted (so that only the last four digits are displayed) in certain public records. Note: Some records are exempt from redaction obligation by law.

Review and Correction Rights

You have the right, under Texas Government Code 552.021 & 552.023, to request to review and obtain copies of information the Village holds about you (subject to redactions allowed by law). You may request correction of inaccurate information held by the Village.

Signature *

Date: *

Office Use Only

Date Received:

Reviewed By:

Permit Fee Paid: $100.00

Cash

Check

Card

Permit #:

Approval:

Approved