14. A City Special Event Permit or Facility Permit will be required in addition to the Alcoholic Beverage Permit.
15. The City shall assume the right to make policy changes as deemed necessary.
16. The applicant will sign a defense and indemnification agreement provided by the City and agrees to defend and indemnify the City related to any issues with the event.
I, the undersigned, do hereby agree that I will abide by the policies governing the use of this park/facility and I will be responsible for any damages to the park/facility or equipment caused by the occupancy of our organization to the premises.
Applicant Signature:
Applicant Full Name (Please Print):
('1A /l , ,y t fY?/11Tf.S
Date of Birth: __ 0_1-+/__, 6....,/1--1 .... 16 ......... ( ___ California Driver's License:_.;:::==== ' . 32-
Present Address: (City, State, Zip Code)
Telephone Number: Email:
This document may be considered a public record subject to release under the CA Public Records Act.
Imperial Beach Alcoholic Beverage Permit Application Page 3