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1). Complete this form, and attach all additional documents, including but not limited to maps, Certificate of
Insurance, and return to Michigan City Clerk’s Office, 100 E. Michigan Boulevard, Michigan City, Indiana.
Read the Board of Public Works & Safety’s Policy Regarding Special Events for Street Closures, copies of
said policy are available in the Clerk’s Office. The Policy prescribes the applicable insurance requirements.
2.) This form and any attachments must be submitted to Clerk at least sixty (60) days in advance of special
event if you are seeking permission to close City street(s) for an event that has never been approved by Board
of Public Works & Safety (“Board”) or a modification to an event which has been previously approved by
3.) Clerk will forward this information to City Departments for their review and recommendation. In
addition, Clerk will place this Request on the Board’s Agenda for their next public meeting. The Board’s
regular meetings are held on the first and third Monday of every month at 8:30 a.m. in Common Council
Chambers (lower level City Hall). Requests must be received in the City Clerk’s Office by 12:00 p.m.
(C.S.T) on the Wednesday before the scheduled board meeting.
4). You should appear at the Board’s regular meeting to answer any questions or concerns the Board may
have regarding your request.
If different from street address
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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