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, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, 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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