Action Center / Street Closure Application / Boone, IA

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Instructions

Please fill out the form below.

* Denotes a required field

Company/Applicant

Address

City

State

ZIP

Zip-Zip +4
Second portion of ZIP Code is optional.

Primary Contact

Phone Number

Phone Number Area Code-Phone Number Prefix-Phone Number Line Number ext Phone Number Extension

Reason for Street Closure

Please give a detailed description of the event and any items that will be placed in the street.

Date and Time of Event

MonthDay Year, HourMinute : AM/PM

End Date and Time

MonthDay Year, HourMinute : AM/PM

Number of Blocks to be Closed

Address

City

State

ZIP

Zip-Zip +4
Second portion of ZIP Code is optional.

Please Do Not Complete The Following Field

Applicant is responsible for obtaining their own barricades. The City will not deliver, set up or remove.

Signature/Title

Date of Application

MonthDay Year,

Please click submit when finished.

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