Temporary Tents Permit

This Temporary Use Permit is for activities that are self-contained on private property and do not impact public right-ofway. Use’s of public property and City services requires a Special Events permit and possibly a Right-of-Way Use permit. Contact the Transportation Department at 425-452-4189.

Application Date:

Property Address

Contact Person

E-Mail Address

Phone

Address

City

State

ZIP

Applicant(if different than contact)

Description of Proposed Temporary Use

Site Plan

Maximum 3 files.
256 MB limit.
Allowed types: gif jpg png pdf doc docx ppt pptx xls xlsx svg zip.

Operation dates and times

Date and Hours of Operation
Date and Hours of Operation Date and Hours of Operation: Date Date and Hours of Operation: Time

Will there be amplified outdoor sound?

Yes

*If yes, a noise permit is required from Development Services – Land Use prior to the event 425-452-4188.

Have you applied for a noise permit?

Yes

Agreement

I certify that I am the owner or owners authorized agent. If acting as an authorized agent, I further certify that I am authorized to act as the Owners agent regarding the property at the above-referenced address for the purpose of filing applications for decisions, permits, or review under the Land Use Code and other applicable Bellevue City Codes and I have full power and authority to perform on behalf of the Owner all acts required to enable the City to process and review such applications.

I hereby certify that the above information is true and correct and that the applicable requirements of the City of Bellevue will be met.

Date

Full Name

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