1. This application must be filed with the Chief of Police no less than seven (7) days, nor more than ten (10) days before the date on which it is proposed to conduct the parade or public demonstration.

2. All blanks must be filled in with an answer or the words “not applicable” where appropriate, before consideration will be given to approval of this permit application. Failure to comply may result in unnecessary delays in permit issuance.

3. Applications filed on behalf of or for any person other than the applicant named herein shall require a communication in written form from the actual person proposing to hold the parade or public demonstration, authorizing the applicant to apply for the permit on their behalf.

4. The Chief of Police may require additional information which he finds reasonably necessary to make a fair determination as to whether a permit should be issued.

5. You must attach to this application a diagram, drawing, map or facsimile thereof which demonstrates and clearly explains the exact location of any and all points of preparatory assemblage, route of travel by parade or march, or parameters, including footage, associated with a public demonstration location.

6. The Chief of Police cannot and will not issue permits for parades, marches, assemblies, or public demonstrations on privately owned property.

Application is hereby made to the Chief of Police, City of Statesville, North Carolina, for a permit to conduct a parade, march, public assembly or public demonstration and to that end the following information is hereby submitted: