Form Center

2. Town of Longmeadow Block Party / Street Closure Application
4. Today's Date
   Today's Date
6. First Name
7. Last Name
9. Address1
11. City
12. State
13. Zip
14. Phone
16. Email
18. Block Party / Street Closure Information
20. Street(s)
21. Area to be Blocked
22. Map or drawing (if necessary)
25. Date/Time of Party
    Date/Time of Party

    Date/Time of Party
26. End of Party
    End of Party

    Please Note - Total duration of party may not exceed 6 hours

27. Rain Date
    Rain Date
28. Entertainment
    -- Select One --YesNo
30. Type of Entertainment
32. Additional Comments
34. If this request is granted, I/we hereby agree to abide by all rules, regulations, and laws of the Commonwealth of Massachusetts and the Town of Longmeadow, with particular regard to the consumption of alcohol. All persons residing within the area to be blocked off, and any parties directly affected by the blocked off area, have been informed of the proposed time/date and have no opposition.
35. Agree

    1. Yes
    2. No
36. Signature of Applicant
40. Police Department Official Use Only
42. Approval Recommended

    1. Yes
    2. No
43. Conditions / Comments
45. Date
    Date
46. Police Chief Signature
50. Select Board Official Use Only
52. Date
    Date
53. Select Board

    1. Approved
    2. Denied*
    3. Approved w/ restrictions*
55. *
56. Majority of the Select Board
57. Signatures
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field