OAKLAND POLICE DEPARTMENT LiGGeE spate Special Events Permit Application APPLICANT INFORMATION EVENT INFORMATION Sper wor = oe lel t, — —_|eree” __Atwsie_ sgtct 8] Ore St Poy 77. Pat _— ZA] ell leh aT /00 Select one Seleet One AJC) salem a Be sae “ype of aa irae Torbay Wal oodarnk bo 3018 Select one OPEV Soarq rt Ave Ovo PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? OYes No ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 5-403, HOLD HARMLESS AGREEMENT ‘The Special Event applicant or president of designee of the sponsoring ofganization(s) (hereafter called “permittee” agrees to reimburse the City of Oakland (hereafter called “City”) for all losses incurred by it in repairing or replacing damage to City Property proximately caused by the permitte, its officers, employees, agents, monitors, or any other ;ons or forming the special event, who were, or should have bean, unde ermittae’s control. Persons who merely attend or join in a special event are not considered by that reason alone to be “under the control” of the permittee. The permittee further agrees to defend without costs, indemnify, and hold harmless the City, its officers, agents, and ‘employees from any liability to any persons, damages, F injuries arising out of or alleged to arise out of the permitted special events, which was proximately caused by the actions of the permittee, its officers, employees, agents, including monitors, or any other persons attending or joining in the special event who were, or reasonably should have been under the control of the perm! jons who merely attend or join in a special event are not considered by that reason alone to be “under the control” of the permittee. have read and I understand the Hold Harmless Agreement and | declare under penalty of perjury that the information provided in this application is true and correct. Permittee's Signature Police Overtime cost Attached: CJYes 71 No Application Fees Paid: (] Yes. []No ‘ABC Endorsement: [] Approved [1] Denied ‘Special Events Personnel Pursuant to OMC 9.52.080, a Special Events Permit is conditionally approved in order for the applicant to obtain additional required decumentation. ‘Signature of Special Events Coordinator Serial No Dato Signed ‘APormitis Hereby Li-Approved ls Pw abl G] Denied ~ Pursuant to OMC Section 9.52.00 Subsection (Selptt Appropriate Subse TT Nov 0 6 Zoe L- Pyto2 VL —— ‘Serial No.@ iiae APPLICANT INFORMATION. “CHES Raby Spe TS OAKLAND POLICE DEPARTMENT Special Events Permit Application ‘TF-607-3 (Jul 10) EVENT INFORMATION. Sven rons 7 SRR tole! 1 Stet one Ausie Aged ger aalal event mE ms 46 Tre Ot "TT ob] Pet ~ Ze] ere enbane wohl} waar 100 Select one SelectOne A/C) wales Te ESS) als EES ea imei PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? Oves ‘No “Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 5-4.03 HOLD HARMLESS AGREEMENT ‘The Special Event applicant or president of designee of the sponsoring organization(s) ( led “pormittes") agrees to relmburee the City of Oakland (hereafter called “City") for all losses incurred by it in repalring of replaci toly caused by the permittee, its officers, employees, agents, monitors, or any ott raone or forming the special event, who were, or should have been, unde ittee’s control. Persons who merely Attend or join in a special event are not considored by that reason alone to be “under the control” of the permitta tees to defend without costs, indemnify, and hold harmless the City, its officers, agonts, and ‘employees from any lability to any persons, damages, losses, or Injuries arising out of or alleged to arise out of the permitted special events, which was proximately caused by the actions of the permittee, its officers, employees, agents, Including monitors, or any other persone attending or joining In the special event who ware, or reasonably should have ‘been under the control of the permittee. Persons who merely attend or join in a special event are not considered by that raagon alone to be “under the control of the permittee. ‘The permittee further | have read and | understand the Hold Harmless Agreement and | declare under penalty of perjury that the Information See aeec eet rommassonan LE fT _ om “Oey. t Police Overtime cost Attached: C]¥os [71 No [ Application Fees Paid: CIYesC)No Veried By: ‘ABC Endorsement: [] Approved [J Denied ‘Special Events Personnel ‘Serial No. Pursuant to OMG §9.52.080, a Special Events Permit is conditionally approved in order for the applicant to obtain additional required documentation. ‘A Permit is HerebySpecial Events Permit Application OAKLAND POLICE DEPARTMENT ‘TF-807-3 (Jul 10) APPLICANT INFORMATION “Applicant Namo “ifernate Contacto, EVENT INFORMATION. ‘Dat of Appiicgtion Type of Event ‘Giner Event (Doser) NOW 12, 2O/4G | Selector DAVCe 1g Location! Address of Ever Dato of Event [Aimel Start-End (_ Crt et Nov 14 214 3D P- O2® Wa Perse epee rsa Atowea Tea ae “| Oo oO - Seleetome Ay 2/4 Select One 4 _)/4 Wa at Waitt Seca Soeur Sang Talore wef ~ 5- Vtg SO _3@| O8/ Tp oiive ‘ia cae sey Wi onda ste Rime” OD?ea) forortere en Co PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? Oves ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 54.03, HOLD HARMLESS AGREEMENT ‘The Special Event applicant or president of designee of the sponsoring organization(s) (hereafter callod “permitteo”) ‘to reimburse the City of Oakland (hereafter called “City”) for all losses incurred by it in repairing oF replacing ‘to City Property proximately caused by the permittee, its officers, employees, agents, monitors, or any other persons or forming the special event, who were, or should hava boen, under the permittee’s control. Persons who merely attend or join in a special event are not considered by that reason alone to be “under the controt” of the permittee. mittee further agrees to defend without costs, indemnify, and hold harmless the City, its officers, agents, and ‘amployees from any lability to any persons, damagi ‘oF Injuries arising out of oF alleged to arise out of the permitted special events, which was proximately caused by the actions of the permittee, its officers, employees, agents, including monitors, or any other persons attending or joining in the special event who were, or reasonably should have been under the control of the permittee. Persons who merely attend or join in a special event are not considered by that reason alone to be “under the contro!” of the permittee. ‘Agreement and | declare under penalty of perjury that the information Tho have read and I understand the Hold Harmlos Provided in this application is true and correct. Permittee's Signature Police Overtime cost Attached: [Yes [Zi“No- ‘Application Fe CNo Voried By: ‘ABC Endorsement: [] Approved Denied Specie Events Personne Sorat No 32.080, a Special Events Permits conditionally approved in order forthe applicantto obtain additional ion. Sa Is sana is 7 freby,_ Ove Seen Ter rn ta ONC Bacon 282080 Sitmaton (nt BH oy Seger | af —— - cemeneen FED sreonrerereunr | ‘Signatur of Chof of Police Designee ‘Sorat No. Date Signed BeeléWisa Card ‘Special Events Permit Application 1 TROT ul 10) . @ OAKLAND POLICE DEPARTMENT APPLICANT, NTINFORMATION, Ly, a 42, Prt Sf. ALT ALD 94607 EVENT INFORMATION “ ‘Date of Peony at Brant 7 arte) LMOW IE, 2O/# (mentee Dance. wig a Na of er ace Ou Novis 2oM SSO POD) Tarbert pasate Tats “16 - — ALL 2+ Select One NA We aera aya ane a ae Wirt "BO 30! OB/S arco ie No PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? Des xno ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 64.03, HOLD HARMLESS AGREEMENT ‘Tho Spacial Event applicant-or president of designee of the sponsoring organization(s) (hereafter called “permites”) agrees to reimburse the Cty of land hereafter call "Cy for al fouses Ineured by itn epacng of replacing damage to Clty Property proximataly caused by the permittee, its officers, employees, agents, monitors, or any other eruone or forming the special event, who were, or should have been, under the permitts’s control. Peraone who marely Sttend or joln Ina special venta not considered by that reseon alone to ba “under the conte?” ofthe permittee. ‘Tho pormition further agrees to defond without costs, Indemnity, and hold harmleas the City, te officers, agents, and ‘employees from any-labilly to any persons, damages, losses, or inluries arising out of or alleged to are ‘permitted special events, which was proximately caused by including monitors, or any other persons attending or joining inthe special event who were, or reasonably should have ‘been under the control of the permitiae, Persons who merely attend ar join in a spacial event are not coneldered by that rwavon alone to be “under the control” ofthe permities. Uhave read and | understand the Hold Harmless Agreement and | deciare under penalty of perjury that the information Ze ‘Special Events Personnel ‘Seria proved in order for the applicant to obtain additional Pursuant to OMG 4s2000 8 Special Events Permit le eondit ‘required documentation. ot pec Eve Coadator Reels ie £1 Deny - Pursuant to ONC Section 9.62.080 Subsection (Selesrire Prevention Bureau ‘B50 Frank Hl Opava Plaza, Sto 3361 (akland, CA 94612 Oakland Fire Dep: artment Fire Inspection Notice of Violation A Sesseies *sioase ose trv. Busines | address: \.\-2,. . Block # lou athe lepecton ndings found during the iapecion conducted onthe dale won boloa—~ \ Cee WAS saves OOO Ot \ aA WN vee habe Sah * " xu . Acknowledgement of Receipt ut Inspector’s Name (print): |” Responsible Party Signature: _ Insp. Da Representing _“./ < All Violations Corrected. Dato: FD Inspector: Page of _ on-uesasc) DISTRIBUTION: White (7P8) ~ elow (Pray OumefRep) Pak Fire Satin) aPie: Yio - pie 10 ~ soz goal vent (50-100 iN ow BER? 95.00 event 60-100 BERN Reo SM On: OAKLAND POLICE DEPARTMENT tec rere expen J 3 iar Eva OaneTeaT Mie t ors re arene "EP — Za] newb eres = \6 oe SeletOne Af HL ‘a F lopnane Wa Tea Mem easy pe f pam ALA, NO | CEIS Sirctone OPEN fern varagrarnes ~ PERMIT INFORMATION ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 6403 HOLD HARMLESS AGREEMENT (neroattar sgreee to reimburse the City of Oakland (heroaar called "chy" forall orton newrrad Oy Wie sepaning co neeceng damage to City Property proximatsly caused by the permite, ks oficers, employees: agenia, mente’ ee id have been, under the permits’ control, Persons who mere) Peraons or forming the special avant, who wero, or treason alone tobe "under the contol” ofthe permite, ‘attend or Join ina special event are not conslderod The permittee further agrees to defend without coats, Indemnity, and hold harmless the City, its officers, agents, and employees from any lability to any persons, damages, losses, or Injurien arieing out of or alleged to arise ut of th Permitted special events, which was proximately caused by the actions of the parmittee, ts otlcere, am, {Including monitors, or any other persone attending or joining In the special evant who wore, o¢ re ‘| been under the contro! of the permitise, Persone who moray attend or Join i roa ‘alone to be “undor the control” of the permite, have read and | understand the Hold Harmless Agreement and | declare under penalty of perjury that the Information provided inthis applcation a tue and corect o fo y/ ‘Parmitteo’s Signature fie < Police Overtime cost Attached: []Yee _(] No Avpehton Fees aif GP _ChNo Voted By. — ABC Endorsement: (] Approved [] Denied ‘peta Ponon Satan Puravant to OMC §9.52.080, a Special Events Permit is conditionally approved in order for he applicant to obtain adalilonal ‘required documentation. Date Signed OO Gy ‘ursuant to OMC Section 9.62.090 Subsection fe [PP ROV 7 FY Nav 20 20m [I AMM =e | Signature of Chief of Police Designee serial No. 2. OAKLAND POLICE DEPARTMENT ie eeucas ner arene EG é Seats ‘TRAGT ut 10) Te RANE Mice t SeuoulY [Bat - 201 Tika Soe Sietone 2 + Saetone ASA MA, BIOTA CES HAVE YOU EVER BEEN DENIED A PERMIT? ‘Applicant agrees to abide by Oakland Municipal Code Dance Mall Regulations, Secon 6-403 HOLD HARMLESS AGREEMENT ‘The Special Event applicant or president of designee of the sponsoring organization(s) (herestter called “permitise") agrees to reimburse the City of Oakland (hereafter called “City” forall losses Incurred by i In repalring of replacing ‘damage to City Property proximatsly caused by the permittee it officers, employees, agents, monitors, or any other ‘baraons or forming the speciel event, who were, or should have been, under the parmiae’s contra. Persone who merely ‘ttand oF join in @ special event are not considered by that reason alone to be “under the control” ofthe permitiee. ‘The permittee further agrees to defend without costs, Indemnity, and hold harmiaes the City, its officers, agents, and ‘employees from any lability to any person, damages, losses, oF Injuries artaing out of or alleged to ariee out of the permitted special events, which was proximately caused by the actions of the permitee, its officers, employees, agents, ‘monitors, oF any other persons attending or Joining In the special event who were, or reasonably should have boon under the control of te parmitse. Parsons who merely atend or join in'a paca! event are nt conadared by that ‘feaaon alone to be “under the control” of the permittee, Uhave read and | understand the Hold Harmless Agreement and { declare under penaity of periury that the Information ‘provided in this application fa true and correct. 5 Sa Vertes By: Endorsement: [] Approved] Denied ‘Special Eventa Personnel Pursuant to OWC $052.00, «Special Events Permits condionaly approved In order or ihe appleat to obtain aden! ‘required documentation. ‘Signature of Special Eyanta GoardinatorS007 OA ey#487776-9-11/26/14-Visa Card 70.00% Reta pe il |Evert(50-100 peopre 7a ou |] j F men mH», 49159-9-12/04/14-Visa Card pee) [ vec 94 ne | 04 204 pcm |Hy Slee oussel, Pa AeOAKLAND POLICE DEPARTMENT eation ‘Speclat Events Permit Application maior Deace Niog wal ef PM ~ Zeer) Buectone Z|} Bale One BO ™e O36 Wi fosaignnk bo vo 96 to ablde by OaNand Municipal Code Dance Hal Raguatons, Section 6-403 HOLD HARMLESS AGREEMENT icant of president of designee of tho sponsoring organization(s) (heresttar called “permitiee”) The City of Oakland (hereafter called “City forall lesee Incurred by itn repalring or eeplacing 'Proparty proximataly caused by he permite, is officers, employees, agents, monitors, or any other ing te epectl event, wo wero, or should have been, under te parmiie's control, Paracne who merely ‘special event are not coneldered by that reason alone to be “under the contro” ofthe permitae, ities furthar agrees to defend without costs, indemnify, and hold harmless the City, its officere, agents, and Tosses, or injuries eraing out of or ailoged to ariee out of the ctions of tho pormitge, Its officers, employees, agents, nitors, or any other persone attending oF Joining in the special event who were, or reasonably should have Hie contro! of the permitee. Persone who maraly altond or jl In a special event are not coneldered by that be “under the control” of the permittee. | understand the Hold Harmless Agraomant and | declare under penalty of perjury that the Information aeaerPTY IE Fs itaée Soets A4OLO2S-9-12/12/14-Visa Card 00 OAKLAND POLICE DEPARTMENT lon ‘Speclal Events Permit Application a4 A . | further agrees to defend without costs, indemnity, “J/arplayees from any leblly fo any persone, damage, iossen, 0 i ial events, which was proximately Mimtarse he ely ‘or president of designes of the y@ the City of Oakland (hereafter called “City" fo Gly Properly proximately caused by tho ORG gq EE nae ae weet = ZA" Stectone Z| Baecone AVA "= TA BOs O86 al adae recaere [DU EVER BEEN DENIED A PERMIT? Over eho sarees abo by Oaltand Marcia! Code Danco Hall Regulation, Section 6-408 HOLD HARMLESS AGREEMENT ‘under the permittees contra ‘oy that rozson alone to be “under the control” ofthe permittee, ring organization(s) (hereafter called “permitiea”) ‘all leases incurred by It in repalring of replacing permite, is officers, employees, agents, monitors, or any other 19 the special vent, who ware, or should havo been, ‘pecial ovent are not considered reons who merely ‘and hold harmigss the City, ita officers, agents, and injure arising out of or alleged to arae out of the Traaved by the actone ofthe permite, is officar, employees, agonts, Monitors, or any other persone attancing or Joining n the special event dar the corvol of te parmitien. Pareone who meray attend or Jon na pes nla tbe “under the conte” ofthe permite. ‘were, ar reasonably should have ‘event are not considered by that {Lunderatand the Hold Harmlese Agreement and | declare under penalty of perjury that the Information ‘Parmitte's Signature MfZo} J Sat attached: [Yes] No ‘Aplin Foon Tne Ls Tena Elapproved [Denied a : pedis Pence orate 090, «Special Events Ports condionaly approved inorder forthe applicant to obtain adonal P= Gighalute of Chief of Police Designee ‘Serial No Coorinaor Tea at ined Danigd = Pursuant to OMG Seotion 8.62.000 Subaaction (elect it da - FH) pec 12 20% SPECI iOAKLAND POLICE DEPARTMENT ‘Special Events Permit Application ‘rear (ut) ro (ade by Oakand Municipal Code Dance Hall Regulations, Sesion 6409 HOLD HARMLESS AGREEMENT i Evant applicant or president of deelgneo of the sponsoring organization(s) (hereafter called “permiioe”) ime he iy of akin retical “OY fra one eure repaing of repiacog ies tr ‘agrees to defend without costs, Indemnity, and hold harmiess the City, is offers, agents, an from. any labilly to any persons, damages, losses, or Inurion ariaing out of oF “ago to as pute he “speclal evonta, which wae proximaely caused by te eons of to pares, ofa, empovens, spent itor, or any other persone standing o ening In tha apace avon who wae x rxianably should ave ‘contol of the permittee. Peraone who morely attend or Join In a epaclal event are not considered by that {he "under the contro!” of the permittee. [understand the Hold Harmioas Agresment and | declare under penalty of perjury that the information ct. [ERE “| DEC 18 2014 = ZBEO L SeeeagronT | E) Denied — Purauant to OMC Section 8.52.090 Subscetion Select492090-9-12/18/14-Visa Card 70.00 OAKLAND POLICE DEPARTMENT ation emit ‘Special Events Permit Application DeNCE Magee { we PM ~ Zrty4 Z\+ Sarton ASA Wea Boe Wai fesa@rnk bo vod a Toes (abide by Oakland Municipal Code Dance Hal Reguatione, Section 6-403 i HOLD HARMLESS AGREEMENT rear cal “parite) Tein rapaleing or replacing roperty:proxim eta, mono of any ott forming the special events who wer, of ehowd have been, under epermitis' I. Porwone who merely oboe avont se semen yt wnen snot "ner cone ot pr defend without costs, indemnity, and hold harmless the City, ts officer, agent, and ‘rom any aby iy praae, dna, oan, ur rg uo alleged to arise out ipeblal events, which wae proximatel by the actions ofthe pelt, its ofcere, employee esa Monitors, or any oer pareone atanding feng nthe eapecial event who wore, oF reser dbt-ths eontrol of the permite. Persons who rg tc n' uped evar arene covered Oy tat Dp pects zou (J UNIToakland PQ - Traffic oe Th| Dawarevent sist Ena i ae Pee eee ‘ OAKLAND POLICE DEPARTMENT ‘Spaclal Events Permit Application, paca Evans Perm Appleton Dance Miak oe i = Zab V4 eka Sala ZA « [eaewore NDA BO | CAS BERMIT INFORMATION EN DENIED A PERMIT? for jon specal event are not coneldero.by that reason alone to Be "unde he antl ofthe peries ‘Tho permite rth agrooy to defend without costs, n any labllty 19 any werons, damages, losse ‘permitted special events, which was proximately caused by the actions of ring o otha In sho apeetl vent whe were or rexaonsiy tio erly atand or Jon In & speclal event are itSre, oF any other person pean i¢ control of the permite. Persons rameoh ane to be "under the contro!” ofthe parmitt ne : y¢ read. and | Understand the Hold Harmless Agrvomant and ‘provided inthis application is true and . e ‘Wir Teaaank be woid ‘Yee Ol No) ‘ pat +| oye fe to abid by Orhend Municipal Gade Dance Hal Regullon HOLD HARMLESS AGREEMENT oth pabgorng sganizattn(s) (hareatr clad “parton led “Ci for sl ToasenIncurreOy 1m roaring oF relaing ‘permitteo, its officers, employees, agents, monitors, or any other ath special vent, ho wer, oF should have enn, under ve parmiteas canto. Paro who merely Indemnity,‘and hold harmioss the City, tts officers, agents, 3 Injurtea arlalng out of or alleged to arine out of the Bain, is fears, employees, suas ‘considered by that ‘declare unider penalty of perjury that the information Vertaal By: a4 int to. OMG 4962,080, a Spach % pobre a : Span Evia Pence ‘aainine 7 Events Paral coneliorally approved In order forthe applicant to abla alors | Panied = Purauant to OMG Section 9.62.000 Subsection (Select Agpiprale Subsesion) U Foo ‘Sonal No: SPECIAL EVENTS UND ‘Bais SionedOAKLAND POLICE DEPARTMENT ‘Special Events Pormit Application ‘esau 0) ier Event Deesriba) eae {aggre OAC Agile PEM ~ Zt) Sito Z|} Binore | ALD snes TRAY BiB a) Of Stectone OPEN fore weer Ce PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? oc ‘Applicant agrees (0 abide by Oakiond Municipal Code Dance Hall Regulations, Senn 6403 HOLD HARMLESS AGREEMENT The Special Event applicant or president of designee of the sponsoring organizations) (hereafter called “permite fees to relmburee the City of Oakland (heraaRar called "Ch" forall loanes Incured by Wh ropaiing of replacing ‘damage to City Property proximately caused by the permits, ts officers, employees, agents, monitor, or any other Persons or forming the apecial even, who ware, of should have tha permitte's contol. Parwons who merely ‘ttn or join in «spacial event ere not coneldered by that reason alone to be “unde Ue convo” ofthe peri The permite further agrees to defend without costs, Indemnity, and Hold harmieas the City, ka officer, age ‘amployses from any lability to any persone, damages, lovee, or Inlurioe arising aut of or alleged to rive out of the ita special events, which was proximatal caused by the acUore of the parmitae, its officers, employes, agents, including monitora, or any other persons attending or joining In the apaclal avert who wore, of reasonably ahould have ‘[ beon under the control ofthe permite, ‘Persans who marly atten or join In a special event are not considered by that ‘reason alone to be “under the control” of the parmitee, | have réad and | understand the Hold Harmlges Agreomant and { declare undar penally of perjury that the Information oven he apleatns coct and oe Permittge’s Signature _ 4 No Police Overtime cost Attached: [1] You ‘ABC Endorsement: (] Approved [] Denied ‘Special Events Personne! Seri ‘Purauant to OMG §9,62.080, « Special Events Permit la conditionally approved in order forthe applicant to abtaln adaltior ‘required documentation. ‘Serial No. me ‘Date Signed. : = Trapani o Ome Sion 200 tae tc foo Seadoe : eR MAY san 8 0.2005: 9) ane Sema {ignatur of Chet of PollFeb 181502:38p Liege LBRLLC. , §108984344.y:c, care pt v0.00 @ Ly OAKLAND, POLICE DEPARTMENT pecial Events Permit Application Patt (ul 1) mrmanrm coed © SRR : i Hirata STO. Cues Racsiat. i ZipCode EVENT INFORMATION. Sais of ApoeaTon Tyee at Bart iar va ane vreteg Hn Denke Nig Jen Sat Fee vat las [See - 21 “ToD Saectane Z| Sect One NA aa BC San Cam | ase ae MA | (D2 COS oa ia cr i ood vad Sdetone CO PEN foamae | fee CI No PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? Ors ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall R HOLD HARMLESS AGRI The Special Event applicant or president of designee of the spon Fees to roimburae the City of Oakland (hereafter callad City”) ‘damage to City Property proximataly caused by the permittee, ite 4 vent, who were, oF should have been| ‘The permittee further agrees to defend without costs, indemnify, ar ‘employees from any liability to any pereans, damages, losses, or I permitted special events, which was ‘caused by Including monitors, or any other persons attending or joining in the ‘control of tho pormitiee. Porsons who meraty attend ‘to be "undar tha control” of the permite | have read and | understand the Hold Harmless Agreomant and I d Provided inthis application is true and correct Pursuant to OMC §9.62.080, a Special Events Permits conditionally a roquired documentation. of all casas Incurred by It in repairing ‘the actidns of the permittee, its officars, employes, agents, Pec event whe wer, or ressonably should have MENT ing organizations) (hereafter callad “permite” lor replacing cers, omployoos, agents, monitors, or any other ‘under the permitisa’s control. Parsons who merely to bo “undar the contre” of the permittee. 1d hold harmless the City, its officers, agonts, and juries arising out of or alleged to arise out of the Join in a special evont are not considared by that are undor penalty of perjury that the information ‘Signature of Spacial Events Coordinator ‘APormit ia Hereby (2 Approves Gl Denied — Purauant to OMC Section 9.62.08 subseton Sac omnes Qe kK Sus ‘Sighature of Chief of Paice Designee ‘Serial No| To — |__sreoatFob 18 18 02:38 Liege LBR LLC Gg Ly E4€ Soerts APPLICANT INFORMATIO! 5108984344. OAKLAND POLICE DEPARTMENT ‘Special Events Permit Application ‘TF8U7-3 (ul 10) arene —— feng DOM Mig Fer te aaa | et Zr (o> Sdectone = Z| + Select One NA Wa at eit SEE Seca Ca Tabniere We, i Ma | TRG ee cts BRE" OPEN toon | maar PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? ‘Applicant agroes to abide by Oakland Municipal Code Dance Hall Reg HOLD HARMLESS AGRE: ‘The Speclal Evant applicant or president of designee of the sf ‘agraes to reimburne the City of Oakiand (hereafter called "City”) ‘damage to City Property proximately caused by the permittes, ite persone ar forming the spaciat event, who were, or should have be {tiend or Join in 2 Special event are not considered by that reason alo ‘The permittee further agrees to defend without costs, Indemnity, a ‘amployees from any lability to any persons, damages, lorses, ar I permitted spacial events, which was proximatoly caused by the acti Ineluding monitors, of any other persons attending or joining in the ‘been under the control of the permitioa. Parsons who meraly attend, reason alone to be “undar tha controf” of the permittee. | have read and | understand the Hold Harmless Agreement and { provided in this application ftv and comes Pormittee's Signature Police Overtime cost Attached: CJ Yee (No ABC Endorsement: (] Approved (] Denied Pursuant to OMC §9.52.080, a Special Events Permit 2 conditionally raquired documentation. ing organization(s) {heroafiar called) “pormittae”) ‘ail loases Incurred by It in repalringlor replacing gfficers, employees, agents, monitore, or any other ‘undor the permitiea’s contrat. Persons who merely to be “undar the contrat” of tho parm 1d hold harmless the City, ts officers, agonts, and juries arising out of or alleged to ariee out of the ne of the permites, its officers, employass, agents, Paclal event who were, or reasonably should have vert are not considered by that ra under penalty of perjury that the information Date Ufeol ld jon Fees Paid: (Vee []No [Special Eventa Personnel ‘Seria No. 1d In ordar for the applicant to obtain additional pce oa Cnr ea “A Permit Hereby AC — a0 stnston soc Kipp spn : —! D. ot 878 | Seomreenreont | “Serial Na ‘Signatuié of Chiet of Palice Designee:: @ La OAKLAND POLICE DEPARTMENT ‘Special Events Permit Application \EGe 2, eamsono APPLICANT INFORMATION E Soret. € logaes Sayer reesei DANCE (QA t Geserareas a Fat Sl "77 / is | eM ~ 2A) Pract t rast ete ior = Seetoe Z| + Seeaone ALJ — TT Bes OBS “Type of Music ‘Other Music (Descr ii foodidrink be 80k Mme OPEN foaniat Tae EVENT INFORMATION. PERMIT INFORMATION | HAVE VOU EVER BEEN DENIED A PERMIT? Oye fo “Applcantagraes t abide by OaKund Muncipal Code Dance Hall Repualone, Secon 64.03 HOLD HARMLESS AGREEMENT ‘Tho Spoctal Event applicant or president of designee of the sponsoring organization(s) (hereafter called “?pormitioe”) |agroes to rolmburee the City of Oakland (hereafter called “City for all losses incurred by it in repairing or replacing ‘damage to City Property proximately caused by the permitteo, ite officers, employees, agents, monitors, or any other persone or forming the special event, who were, or should have been, under the permittse’s control. Persons who merely aattand or Join In a special event aro not considered by that reason alone to be “under the control” ofthe permittee. ‘The permltise further agrees to defend without costs, Indemnity, and hold harmises the City, its officers, agents, and ‘of the employees from any lability to any persons, damages, losses, or injuries arising out of or alleged to arise ited special events, which was proximately caused by the actions of the permitse, its officors, employs Including monitors, oF any other persons attending or joining In the special event who were, or reasonably ve een under the control of the permittee. Persons who merely attend or join in a special event aro not considered by that reason alone to ba "under tho control" of the permittee. have read and | understand the Hold Harmless Agrooment and | declare under penalty of perjury that the Information provided nthe spplcaton rs and coach. : ph Dom Ai fee] 14 ‘Applicltion Fees Pald: (]Yos (No Police Overtime cost Attached: []Yea [] No Veried By: ‘ABC Endorsement: (] Approved [1 Denied Pursuant to OMC §9.52.080, a Special Events Permit ls conditionally approved in order for the applicant to obtain additional required documentation. seas foDeOVEN devon utzon sneer ein EEE i rn FEB 37 eg of Chiat of Police Designeefepgdio? OAKLAND POtIEE oeranrmeny Special Events Permit Application Testa aur l Persons. nto" ofthe perma ant, ey, ane a hold hamniess the City, ity, officers, agents, mages, ae Caley i a nh ailng out ialeaed to anag 202M Y35~° S77 Pogsee? 8%" aKLAND POLICE DEPARTMENT Ly Speca Everts Permit Appeaten “TragT- ul 1) veers a : 5 fe hea Siectone Z| + See one A oe Security ‘Securlif Company iss as BIO Se CBS Seetone OPEN fOQviat Vaesagir ea” PERMIT INFORMATION HAVE YOU EVER BEEN DENIED A PERMIT? Oy ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 5-4.03 HOLD HARMLESS AGREEMENT ‘The Special Event applicant or president of designee of the sponsoring organization(s) (hereafter called “permittee” ‘agrees to rolmburee the City of Oakland (horeatter callad “City") for all losses Incurred by It in repalring or replacing, _| damage to Clty Property proximately caused by the permiteo, ite officers, employees, agents, monitors, or any other ‘persons or forming the special event, who were, or should have beon, under the permitteo’s control. Persone who merely attend or join in a special event are not coneldered by that réason alone to be “under the control” of the permittee. 18 permittee further agrees to defend without costs, Indemnity, and:hold harmless the City, ts officers, agents, ar ‘employees from any liability to any persons, damages, losses, or injuries arising aut of or alleged to arise out of tho permitted special events, which was proximately caused by the actions of the permittes, its off Including monitors, or any other persons attending or Joining In the special event who were, or reasonably sh bbaon under the control of the permittee. Persons who morely attend or join In a special event are not considared by that ‘reason alono to be “under the controb” ofthe permittee. have read and 1 understand the Hold Harmless Agreomant and { declare under penalty of perjury thatthe tntormation provided In this application Is true and corract. Permittee's Signature ole Lefeel es Farin Cw Verified By: ‘ABC Endorsement: [) Approved [1] Denied = ‘Special Events Peraonnel Serial No. Pursuant fo OMC §9,62.080, a Special Events Permit ie conditionally approved in order for the applicant to obtain adcitional aquired documentation. ‘Signature of Special Events Coordinator ‘A Permit is Horoby x Denied - Pursuant to OMC Section 8.62080 Subsection cl plaid Suiopeoh) Ceo AOS. Py wa os as YI “Signature of Chiet of Police Designee ‘Serial No. SPECIAL ERR SIONS: @ OAKLAND POLICE DEPARTMENT 2] ‘Special Events Permit Application "Te807-3 (0110) simi Dance Nigat ‘ot Event ia En 1 3/9/15 “Bed ~ Zar) Slee Z| + Bao ASA a ee me, eee ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 6-4.03 HOLD HARMLESS AGREEMENT ‘The Special Event applicant or president of designee of the sponsoring organization(s) (hereafter called “permite”) ‘agrees to relmburee. the City of Oakland (hereafter called "City" for all losses incurred by It In rep damage to City Property proximataly caused by the permittee, its officers, employees, agents, moni ‘persons or forming the special event, who were, of should have beon, under the permittee's control. Persons who merely attend or join in a special event are not considered by that reason alone to be “under the control” of the permitise. ‘Tho permitive further agrees to defend without costs, Indemnity, and hold harmless the City, its officers, agents, and | smplayees from any lability to any persone, damages, losses, or injuries arising out of or alleged to ariaa out of the Permitted special events, which was proximately caused by the actions of the pormittue, Its officers, employees, agents, Including monitors, or any other persons attending or joining In tha spacial event who wore, or reasonably should have ‘Reon Under the control of the permittee. Persone who merely attond or join In a special event are not considered by that feason alone to | have read and ! understand the Hold Harmises Agreement and | declare under penalty of perjury that the Information Provided inthis application le true end eorect ‘Permittee's Signature Vertied By: ‘ABC Endorsoment:[] Approved [] Denied ‘Special Events Personnel oe Firmuni ts GMC 18.3200, «paca verte Peri conaonay appraved inorder for ws appear to obam adctiona! ‘equired documentation. : ‘Signature of Special Events Coordinator APenmit is Hereby Li“Approved G Denied — Pursuant to ONC Section 8.62.090 Subsection (Select App| ION) EAL eS ee ] i cS JO BHO eel ‘Signature of Chiat ot Police Doaignes “Berial No. pate Signed.Oak). PO - Traffic net Bea. nett evnt(so-i00 2) vent (50-100 peopte ce oe BED os, TT Event (50-100 sgople) 35/2015 13:06 HE10508 yay Receint #:OAKLAND POLICE DEPARTMENT lal Events Permit Application be earn EVENT INFORMATION. ne re | Zoid | Sietom Dance Niay inher = yada — Sar ary Ziklie © |B 20 Rasta + ad Ee t SS Seletone Z|} Select One worl Secu uy Company aor We = s t E24 CLS WARE 10 Opn hoe are PERM INFORMATION HAVE YOU EVER BEEN DENIED A PERMIT? Ores ‘No | “ppc grav to sid by Goin Mini Goa Bras pon Stan F43 HOLD HARMLESS AGREEMENT ‘The Special Event appilcant or president of designee of the sponsoring organization(s) (hereafter called “pormitye") reee to relmburee the Clly of Oakland (hereafar called “City") for all losses incurrad by It in repairing or replacing 1age to City Property proximately caused by the permites, ts officers, nts, moni any other persons or forming the apecial event, who wore, or should have been, under the permittes's control, Peraons who merely ‘tiend or join Ina special event are not considered by that reason alone to be “under the contrat” ofthe permitia ‘The permittee further agrees to defend without coats, Indemnity, and hold harmless the City, ts officers, agents, and ‘employees from any lability to any peraons, damages, losses, or Injuries arising out of or alleged to arise cut of the permitted apecial events, which was proximately caused ty the actlons of the permittee, its officers, employees, agents, including monitors, or any other tending oF Joining In the special evant who were, or reasonably should have bbeen under the contro! of the permitise. Persons who meray attend or join in a special avent are not considered by that retaon alone to bo “under the control” of the permitee, have read and ! understand the Hold Harmless Agreament and | declare under penaity of perjury that the Information Provided nth application ite and coract a Permitee's Signature Police Overtime cost Attached: (J Yes [] No ‘Vented By: ABC Endorsement: (] Approved [] Denied ‘Special Evonts Perr 62.060, « Special Events Permit le conditionally approved in ordar for the applicant to obtain additional ‘Barat Wo Purauant to OMC required documer “Signature of Special Events Coordinator [Busser bP s £8 | Signature of Chet of Police Designee2 "yran73 (ul 1) ae srrucayn wecnwaron) © ERS . OAKLAND POLICE DEPARTMENT Lie arena eerie ‘ fa hice Sar End eM ~ Zeer) Bicone Af) iy Be CaS — —— ale aa stetone OPEN forert ioe | PERNT INFORMATION HAVE YOUEVER OEEN DED APenwuT? Ove “Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 6-403, HOLD HARMLESS AGREEMENT The Special Event applicant or president of designee of the sponsoring organization(s) (hereafter called “permittes”) "city") far all losses Incurred by it in repairing or rep Gamage to City Property proximataly caused by the permittee, its officers, employees, agents, monitors, or any oth ‘persons of forming the special avent, who ware, oF should have been, under the permittae's control. Parsons who morely {Attend or Join ina special event are not considored by that reason alone to be “under the control" ofthe permitise. ‘The pormittes further agrees to defend without costs, Indemnity, and hold harmless the City, its officers, agents, and ‘employees from any lability to any persons, damages, lossee, or Injures arising out of or ailagad to arise out of the [permitted epacial events, which was proximately caused by the actions of the permittee, its officors, employees, agents, Mretuding monitors, or any other persone attending or Joining In the special event who were, or reasonably should have -| been under the control of the permite. Parsons who maroly atend or join In a apacial event are not considered by that reason alone to be “under the contro! of the permittee. Ihave read and | understand the Hold Harmless Agreement and I declare under penalty of perjury that the Information provided In this appllcation is true and correct. e A fy , Permit’ Sonate _& Ww er Police Overtime cost attached: [J¥es [] No Anplchon Fos Pa(fys5 Tne Vertes Br ABC Endorsement: C]Approved [1 Denied Spec vera Pon ‘060, « Special Events Permit is conditionally approved In order for the applicant to obtain additional Pursuant to OMC $9. required documenta ‘Signature of Special Eventa Coordinator ‘A Permit ia Hereby ‘f° Approved j t D) Denied ~ Pursuant to OMC Section 9,62.090 Subsection (Select ” ree Pat 26 208ft __ Sosa Grane Peveneat ‘See. 6 coneitlonelty approved in order for the applicant to obtain edditiona! Fis | PRB Ove 201oo Se a al APR 8 20 A A | see: ‘OAKLAND POLICE DEPARTMENT Lie norarorarety Ge Sets ‘yr ul 10) iy 2A Ara facts lip, 5 BT ar me Saectent Z| + seo AIA | aed tog ine Wa. ~ Tiesarmnas T BID te) CBS Stectone OD PEN CORP wea PERMITINEORMATION = HAVE YOU EVER BEEN DEnEDAPenwT? Ove fhe ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 6-403 HOLD HARMLESS AGREEMENT ‘The Special Event applicant oF president of designee of the sponsoring organization(s) (hereafter called “permitae”) ‘agrees to reimburse the City of Oakland (hereafter called “City") for all losses Incurred by it In repairing oF replacing damage to City Property proximately caused by the permits, it officers, employees, agents, monitors, or any other parsons oF forming the special event, who ware, or ahould have been, under the permittee's control, Persons who merely {ttend or Join in special event are nt considered by that reason alone to be “under the control” ofthe permittee. ‘The permittee further agrees to defend without costs, Indemnity, and hold harmiaes the City, ite officers, agenta, and ‘employees from any lability 1o any persons, damages, losses, or Injures arising out of or allaged to arise out of tho permitted epeclal avents, which was proximately caused by the actions of the permittee, Its offcers, employees, agents, including monitors, or any other persone attending or joining in the special event who wore, or reasonably should have ‘] neon under the control of the permittee. Persons who merely attend or Join in a special event are not considered by that reason alone to be “under the contro! of the permittee. | have read and | understand the Hold Harmless Agreement and I declare under penalty of perjury that the Information provided In this application is true and correct. . a ee Li Lom UY) Police Overtime cost Attached: (J Yee [] No ‘Applichtion Fees Paid: ClYes (JNO ‘Vertes By: ‘ABC Endorsement: C] Approved [J Denied — “Special Events Personnel Serial No. Pursuant to ONC §9.62.060, « Special Events Permit is conditionally approved In order for the applicant to obtain additional ‘required documentation. — am ma | ‘A Permit proved ToPROVEn Ie pore a ONG seston L280 beacon sat Abaco | rT oa | nature of Chief of Police DesigneeOAKLAND POLICE DEPARTMENT Special Events Permit Application @ Liege Gots pec ‘drs auto) EVENT INFORMATION “Shar vent (Oona) "ade Siectone TS, NCE Mie Tara hte — SEM ~ Ze) Sicieof 2.1 + Secon AJA re te One A BO 2) CBS tna er recenars — PERMIT INFORMATION. HAVE YOU EVER BEEN DENIED A PERMIT? ‘Applicant agrees to abide by Oakland Municipal Code Dance Hall Regulations, Section 6-408 HOLD HARMLESS AGREEMENT ‘The Special Event appitcant or president of designee of the sponsoring organization(s) (hereafter called “permitiae”) grees to reimburse the City of Oakland (hereafter called "City" for all fosaes Incurred by It in repairing or replacing image to Gity Property proximately caused by the permittee, Its officers, employees, agents, monitors, or any other arson or forming the special event, who wore, or ahould have been, under the parmitiee's control. Peraone who merely {Attend or Join In special event are not considered by that reason alone to be “under the control” ofthe permitiae, ‘The permittee further agrees to defend without costs, Indemnity, and hold harmless the City, its officers, and ‘employees from any labitty to any persons, damages, losses, or Injuries arising out of or alleged to artee cut of the permitted epecial avents, which was proximsialy caused by the actions mittee, ts officers, employees, agents, Including monitors, or any other persone attending or joining inthe special evont who wore, or reanonably should have ‘been under the control of the permittee, Persons who merely attand or Join in special avent are not considered by that reason alone to be “under the control" of the permittee, | have read and | understand the Hold Harmless Agresment and | decir ‘provided in this application is true and correct. romitre sore La Police Overtime cost Attached: (] Yes [] No under penalty of perjury that the information ‘ABC Endorsement: [] Approved [Denied ‘Pursuant to OMC §9.52.080, a Special Events Permits conditionally approved In order for the applicant to obtain additonal ‘required documentation. ‘Special Events Personnel JPPROV i | In ap ‘ignatue of Chet of Police DesigOk UL a M "0h ep “ P20) Sh ea 00: (26086 gp}-ps}3ueN3, {Leas - eek ou'se 00°se {3[ 020 001-03) IWR: “any “PIEL 1692, Dusyeds ~ Od BURL YEOhate A “Ti i i APR 17 2015; Hl |bald er of the permite, ee ioe oe ee 1c telyeaiand tr fin nw epectal ever