Public Space Permit Application

Name of Event

Important! Before finishing this submittal, please click on the link >here< to review additional information regarding responsibilities related to the reservation of a public space.

Time event will begin and end

Event Description (200 words. You can also submit brochures, etc. as one attachment below)

Upload File To Box

What public space would you like to use? (Application only eligible for the three public spaces below)

Five Points Plaza

The Green at Prosperity Village

The Ritz at Washington Heights

Set Up (day of week/date/time)

Take Down (day of week/date/time)

Estimated Attendance (including attendees & volunteers) . Please note capacity limits are as follows: Five Points Plaza (850); The Green at Prosperity Village (2,500); The Ritz at Washington Heights (475).

Are you serving or selling alcoholic beverages?

Yes

If yes, what is the name of the organization/company selling or serving?

If yes, have you contacted the North Carolina ABC (if Special One Time Permit is required?)

Yes

Do you plan to utilize the sidewalk or street for your event?

Yes

If yes, have you contacted CDOT to request a Special Event Permit?

Yes

Are you preparing/providing food on site?

Yes

If yes, have you contacted the Mecklenburg County Health Department?

Yes

Are you having amplified sound?

Yes

If yes, have you contacted CMPD Field Services?

Yes

What is the name of your organization?

Phone Number

Address Autocomplete

Address or Location

Explanation of all items checked above:

Media/Photo Release

Photographs may be taken during events on City of Charlotte property. The City of Charlotte may use these photos in printed and electronic materials, including, but not limited to, brochures, power point presentations, website and newsletters.

Do you give the City of Charlotte permission to use photos/video of your events in promotional materials?

Yes

Would you like to be added to the City of Charlotte's Placemaking Program Contact list and receive updates on public space initiatives.

Yes

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

Your signature and the submission of this document does not guarantee the reservation of a public space. Once submitted, this form will be reviewed by the City and a staff member will reach out with required next steps.