If you desire assistance or have questions about this form, you can email us at firstname.lastname@example.org, call us at (517) 483-4133, or visit us in the City Clerk's office, located on the 9th floor of City Hall (124 W Michigan Avenue, Lansing, MI 48933).
The undersigned hereby applies for a license to sponsor, operate, exhibit, perform
or cause to be operated, exhibited or performed a "show" within the limits of the
City of Lansing, Michigan. Show means any circus, menagerie or other exhibition,
entertainment, carnival or show, of any nature and name for which money or any
other consideration is in any way demanded or received for admission.
Fill out and print this form. Bring this form and the materials listed to the City Clerk's office to complete the application process.
Fee: $250.00 per day/per location, not to exceed $1000.00 per year/per location. Site plan and security plan may be required. This form may be notarized at the City Clerk's office.
for Public Liability in the amount of $300,000 to $500,000 and Property Damage in the amount of $100,000.
The City of Lansing must appear as an additional insured and receive a 10-day cancellation notice.
in the Penal Sum of $1,000.
I understand that a false statement on this application may result in either a denial of this
application or subsequent revocation if this license is granted.
Has the applicant, owner, or sponsor; or any person with an ownership interest in the applicant, owner, or sponsor; or any person who will manage the show had any citation or conviction for, or guilty plea to, a violation of the laws of the United States, any State or any local unit of government regulating the operation of a show?
Subscribed and sworn to before me this ________ day of ____________________, 20_______, acting in the County of ____________________, Michigan.
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