Banner Encroachment Permit Application Form

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Please correct the field(s) marked in red below:

1
Contact Information
 *
Contact Information
2

Please check location(s) requested:

Please check location(s) requested:

*Fishing Pier and basketball Court are a combined fee and cannot be split

*Wind slits are optional and up to your discretion

3

Dates Requested: (two week maximum)

 *
Dates Requested: (two week maximum)

Permittee agrees that they will be responsible for all costs and actions in regards to banner(s) including but not limited to:  banner design, labor for banner placement and removal, any time charged by City to remove or repair banner.

 

Permittee agrees to relocate, remove, repair or maintain at his/her (or their) expense said banners within 48 hour notice that the Parks and Recreation Director has found and determined that permittee has failed to comply with any of the conditions required herein, or that the public interest requires such relocation, removal, repair or maintenance.

 

Permittee agrees to indemnify, defend and hold the City of Sausalito harmless from any and all damages, claims, actions and causes of action which may arise as a result of permittee's negligent acts or omissions in any matter related to this encroachment.

 

Permittee agrees to bind himself/herself (or themselves, jointly or severally), his/her (or their) heirs, successors, administrators, executors and assigns to the faithful performance of the conditions of this permit.

 

Permittee must be a Non-Profit organization. Documentation may be required.

 

This permit is to be strictly construed, and no work other than that specifically mentioned above is authorized hereby.

 

I have read and understand the above Banner Encroachment Permit Conditions.

4
Applicant Electronic Signature
 *
Applicant Electronic Signature
5

I will be paying the fee by...

I will be paying the fee by...

PAYMENT FOR BANNER IS DUE 7 DAYS AFTER SUBMISSION DATE.

*Cash and Check payments must be submitted to City of Sausalito, Parks and Recreation Department, 420 Litho Street, Sausalito, CA 94965 

*Credit Card payments call (415) 289-4198 to give credit card information

**Applications submitted within 7 days of requested date are not guaranteed to be processed by requested date.

All collected fees will be deposited.

Applications submitted will get a response in 3-5 days. Thank you.