Glen Ridge

Block Party Application

Street locations of Block Party including cross streets:

_____________________________________________________________________

Applicant's Name  ______________________________________________________

Address:  _____________________________________________________________

Telephone Number:  _______________________

E-mail Address:  __________________________

Telephone Number at which
Applicant can be reached on day of party:  _________________________

Date of Block Party: ____________________________________________________

Start Time of Block Party: ___________       End Time of Block Party: Sunset*

*Your approved permit will show the specific end time for your party.


During all Block Parties keep one (1) lane passable for emergency vehicles.

Please submit Application at least a week prior date of block party to:

Michael J. Rohal, Borough Administrator/Clerk
PO Box 66
Glen Ridge, NJ 07028


___________________________________________________________
Michael Rohal, Borough Administrator



FOR BOROUGH USE ONLY

Block Party # ____________

Date Approved: ____________