Form Center

Step One

To be completed only in addition to Special Event Permit Application
- Temporary Road Closures require Town Board Approval and may add extra time to the application process. Please allow 60 days to process the application.
- Fees must be paid prior to processing.
- Incomplete applications will delay or prevent processing.
- Event requesting temporary road closures require pre-submittal meeting with events personnel.
Application Date
Application Date
Name of Event
Event Date
Event Date
Event Start/End Time
Event Start/End Time Start Time
—
Event Start/End Time End Time
Event Type
Concert/Performance
Fair/Fesitval
Food Vendors
Outdoor Market
Parade/March
Private Function
Race/Walk
Sports/Recreation
Other
Other Details
Temporary Road Closure and Traffic Plan
Roads requested for temporary closure and specific road closure times
Road
Date/Time(s)
Date/Time(s) Start Date
Date/Time(s) Start Time
—
Date/Time(s) End Date
Date/Time(s) End Time
Road
Date/Time(s)
Date/Time(s) Start Date
Date/Time(s) Start Time
—
Date/Time(s) End Date
Date/Time(s) End Time
Road
Date/Time(s)
Date/Time(s) Start Date
Date/Time(s) Start Time
—
Date/Time(s) End Date
Date/Time(s) End Time
Road
Date/Time(s)
Date/Time(s) Start Date
Date/Time(s) Start Time
—
Date/Time(s) End Date
Date/Time(s) End Time
Road
Date/Time(s)
Date/Time(s) Start Date
Date/Time(s) Start Time
—
Date/Time(s) End Date
Date/Time(s) End Time
Continue

Disclosure
Event Notification and Communication- Event sponsor (applicant) will be responsible for contacting all individuals, residents, and businesses who will be impacted by the event's temporary road closure(s). The Town of Fuquay-Varina requires an event sponsor to provide written notice certifying that all adjacent business owners of the public street(s) subject to closure in relation to the planned event have been notified to the temporary road closure(s).
Affidavit of Applicant
My Signature below indicates that everything I have stated in this application is correct to the best of my knowledge. I have read, understand and agree to abide by the policies, rules and regulations of the Town of Fuquay-Varina as they pertain to my request. The permit, if granted, is not transferable and is revocable at any time at the absolute discretion of the Town of Fuquay -Varina's Town Manager's Office (or designee). My signature below indicates consent to any inspection by any Town staff member. All programs and facilities of the Town of Fuquay-Varina are open to all citizens regardless of race, sex, age, color, religion, national origin, or disability.
Applicant's Signature
By typing your name into this field, you authorize that Town of Fuquay-Varina to consider this an electronic signature.
Date
Date

Leave This Blank: