Outdoor Alcohol Consumption Permit

2. This permit is issued in accordance with SDCL 35-1-5.3.

4. Business Name

5. Person Requesting Permit

6. Address

7. Phone

9. Permit Period
   Permit Period Start Date

   Permit Period Start Time

   —

   Permit Period End Date

   Permit Period End Time

11. Requested Area

13. Contact Person at Event

    (Must be Present During the Entire Event)

14. Cell Number

16. The following conditions must be met for this permit to be valid:
    -The entire permitted area must be fenced or controlled to limit access.
    -All applicable South Dakota alcohol laws and Mitchell ordinances must be followed.
    -Requesting person/business must provide a minimum of two law enforcement officers from the Mitchell Police Division: or such other officers as deemed appropriate by the Chief of his designee.
    -Insurance certificate must be on file with Human Resources. Certificate of Insurance = $1 million General Liability, $500,000 Liquor Liability.
    -Permit fee of $500 has been paid at the City Finance Office.

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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field