Permit Application - Street Closure

Application Process

Complete the following application - printable versions are also available or in the Clerk's Office.
If you are unsure about how to respond to any questions on this form, check with the City Clerk for clarification

Review of your application

The Richland Center Police Department and the City Public Works Department will review the request to approve the street closure request
The City Clerk will issue your license in as timely of a manner as is possible once it is approved

Supporting Documents

Street Closure Request Application (753 KB)

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Event Information

Event Date *

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Event Name *

if applicable

Brief Description of Event *

Street Location to be Closed *

Hours of Closure - Start Time *

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Hours of Closure - Start Time AM

Hours of Closure - Start Time PM

Hours of Closure - End Time *

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Hours of Closure - End Time AM

Hours of Closure - End Time PM

Principal Contact *

Phone Number *

Email *

Alternate Contact

Phone Number

List of Businesses Affected by the Closure

Business Name

Have you contacted the above listed businesses to inform of road closure? *

Yes

The undersigned, by signing this application, hereby consent to any necessary review by the City of Richland Center and confirm that I have read, understand, and agree to follow all permit requirements and applicable City ordinances.

Applicant Virtual Signature *

City Clerk / Treasurer

Contact Information

Address:
City of Richland Center Municipal Building
450 South Main Street
Richland Center, WI 53581

Phone:
(608) 647-3466

Fax:
(608) 647-8360

Hours:
Monday - Friday:

8:00 AM to 4:30 PM

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