City of Lees Summit Department of Planning and Development Type 4 Special Event Fireworks Sales Application Form

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1. No more than twenty (20) licenses will be issued for the retail sale of fireworks to not for profit (NFP), religious or community service organizations only. Of the twenty (20) licenses, nineteen (19) shall be reserved for nonprofit, religious or community service organizations located and operating in either the City of Lee s Summit or the Lee s Summit R-7 School District ( Local Organizations ) and one (1) license shall be reserved for a national nonprofit organization which has an office located inside the City of Lee s Summit, e.g. the Red Cross ( Outside Organizations ). To be considered for the twenty (20) licenses, a Type 4 Special Event Fireworks Sales application shall be completed and submitted to the Department of Planning and Development. A complete application consists of all items identified in the Submittal Requirements checklist. Information missing or not submitted with the application will result in an incomplete application and the application will not be accepted. 2. Only one application may be filed on behalf of an entity for a particular location, and any additional applications filed on behalf of the same entity for a particular location will not be considered. Only one license can be issued for an application and only one license will be issued for each particular location. 3. Applications to be considered for the twenty (20) licenses will be selected by a lottery system. The will accept applications between 8:00 a.m. April 1 st and 5:00 p.m. April 3 rd period. Incomplete applications will not be accepted during the application period. First, each applicant submitting an application deemed complete by City staff will draw a number at random at the time of filing. City staff will record the number drawn with the applicant s application. The names of the applicants will be listed in numerical, sequential order of the numbers drawn, together with the designation of whether the applicant is a Local Organization or Outside Organization. The first nineteen (19) Local Organizations listed and the first one (1) Outside Organization listed will be considered for the twenty licenses. In the event that the number of Local Organizations and Outside Organizations applying do not meet the amount of licenses reserved for the respective class, the remaining licenses may be awarded to qualified applicants of the other class. On April 6 th, all applicants will be notified whether their application is one of the twenty licenses awarded. The Special Events Permit Fee ($275 filing fee) must be paid within forty-eight (48) hours of the end of the lottery ( 48 hour period ), not including the weekend, or the application will be deemed denied and the next applicable application shall be considered in numerical, sequential order as determined by the lottery. Once an application is filed, the information contained therein may not be revised or altered; provided,

however, that the identity of an entity and the proposed location may be changed by written request received by the City staff within forty-eight (48) hours, not including the weekend, of the filing of the application. Any changes to the application in regards to the location and applicant after the 48 hour period will be deemed denied and the next applicable application shall be considered in nmerical, sequential order as determined by the lottery. 4. All applications selected for the licenses will go through a detailed staff review by the Planning, Codes, Fire, Police and Public Works departments at a Development Review Committee. Out of this meeting, written comments on the proposed application will be prepared and sent to all parties listed on the application form (via fax). City staff will have ten (10) business days from the completion of the lottery to review the initial application and will have five (5) business days to review any revised plans. 5. City staff will review the plans and information against applicable codes and ordinances. Approval may be granted after considering performance standards as set forth in Article 11 of the UDO and after review by the Codes Administration, Public Works, Police and Fire departments for compliance with applicable codes and ordinances. The approval granted is for the specific location shown on the approved plans and applicant listed on the application. 6. Once approval has been granted for the Special Event Permit, a Retail Fireworks Sales License (business license) shall be obtained from City of Lee's Summit Finance Department. The cost of this license is $30. The following items are required prior to obtaining a retail fireworks sales license: An approved Special Event Permit A cash deposit, performance bond, letter of credit, or other security approved in content and form by the City Attorney, in the face amount of $1,000. 7. No temporarily licensed stands, nor any signs approved as part of the Special Event Permit process, may be setup before June 23 rd of the licensed year. All licensees must display at the stand location a 32 square foot banner which recites the identity of the licensee. This banner must be attached between two pole securely placed in the ground. All licensees must also display near the case register (or other place of checkout) a signs of at least 12 x 12 which recites the identity of the licensee. As a condition of approval of the license application, all

licensees must immediately remove any sign after being informed by City staff that the sign violates the licensee s approved sign plan. It shall be the duty of the licensee to completely remove all temporary licensed stands and signs, and to clear the site where such stand and signs were erected of all debris and trash on or before July 7 th of the same year. All tents and electrical shall be inspected and approved by Fire and Codes departments prior to occupancy or stocking of merchandise. 8. The retail display and sale of allowed fireworks shall be permitted by nonprofit, religious or community service organizations for the period beginning 6:00 a.m. on June 23 and extending through midnight on July 4 of each year. The hours of operation shall be consistent with the surrounding land uses. 9. At the time of application, every applicant shall provide a narrative description of its security plan to secure the premises when not open to the public, including the evidence of the qualifications of the security guard(s). At a minimum, the security plan shall provide the following: The stand/tent shall be secured and a guard present any time the business is not open to the public. The security guard shall be properly and validly licensed pursuant to the City Code. 10. A signage plan, which identifies the location, size, and type of signs, shall be submitted with the application. The following types of signs are prohibited: Search lights Any Inflatable Object/Balloon Pennant Portable sign Streamer Moving/Flashing or Animated sign Roof sign Off-premise sign (i.e., a sign not located on the property)

Submittal Requirements *A Completed Checklist Must Be Submitted With The Special Event Permit Application Met Not Met N/A 1. Applicant Name, Address and Telephone Number 2. Property Owner Name, Address and Telephone Number 3. $275 filing fee (within 48 hours of completion of the lottery) payable to City of Lee's Summit 4. Ownership Affidavit 5. Proof of Not-For-Profit status. 6. A copy of current State Fireworks Permit 7. Proof of general liability insurance 8. A written narrative description of the proposed event, to include: address of the site on which the proposed event is to be held; date(s) of the proposed event; the hours of operation; anticipated attendance; any tent/building or other structures, signs or attention-attracting devices proposed to be used in conjunction with the event; security plan; electrical plan; and proposed temporary potable water supplies 9. Five copies of a site plan showing the location of all existing and proposed uses, tent location, location of parking, ingress/egress locations, traffic circulation, signs, streets and property lines.

Not for Profit Organizations Only PROPERTY LOCATION/ADDRESS (Tent Location): ZONING OF PROPERTY: PROPERTY OWNER CONTACT PERSON ADDRESS PHONE FAX CITY/STATE/ZIP NOT FOR PROFIT CONTACT PERSON ADDRESS PHONE FAX CITY/STATE/ZIP FIREWORK DISTRIBUTOR CONTACT PERSON ADDRESS PHONE FAX CITY/STATE/ZIP PROPERTY OWNER NOT FOR PROFIT Print name:

CITY OF LEE S SUMMIT OWNERSHIP AFFIDAVIT STATE OF MISSOURI ) COUNTY OF JACKSON ) ss. Comes now (name of property owner) who being duly sworn upon his/her oath, does state that he/she is the owner of the property legally described as in the application for SPECIAL EVENT PERMIT acknowledge the submission of said application and agree to bind the subject property in accordance with the plan submitted as part of the above application. Dated this day of, 20 Signature of Owner Printed Name Subscribed and sworn to before me this day of, 20 Notary Public My Commission Expires