In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit the City of Modesto website.
This is for internal use only. Do not fill this in.
Please do not submit this Permit Application until you have a complete Street Closure Acknowledgement form with all required signatures.
Upload your completed Street Closure Acknowledgement Form with the signatures from two thirds of the impacted residents and/or businesses.
Permission is Hereby Granted to this individual or organization.
Enter the individual or organization's street address.
Enter the full name of the person in charge of event.
Check all that apply.
You will need to posts signs on impacted parking spaces or street closures.
Primary Street Name
Required if the street closure will encompass more than a one block radius.
Type of Event
Event cannot be more than 3 days.
If dates are not consecutive, you must fill out another application.
This field is not part of the form submission.
* indicates a required field