2. Organization Name
4. Event Date
   Event Date
5. Start Time
   Start Time
6. Finish Time
   Finish Time
8. Contact Name
9. Email Address
11. Address
13. City
14. State
15. Zip Code
17. Phone Number
18. Fax Number
20. Upload an image
    Map of the area you are requesting the permit for or other image
22. Additional Comments
24. Questions?
    Contact Darlene Feldmann, Administrative Assistant, City of Fairfield, by phone at (513) 867-5350 or by email at dfeldmann@fairfield-city.org.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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