Temporary Street Closure Request

Page 1 of 4

Contact Information

Email

Phone

First Name

Last Name

Postal / Mailing Address

Apt / Unit #

City

State

Zip Code

Business/Organization Name (if applicable)

Preferred Method of Contact

Page 2 of 4

Event Information

Are you applying for a NEIGHBORHOOD BLOCK PARTY or a SPECIAL EVENT?

A NEIGHBORHOOD BLOCK PARTY is a one block closure in a residential neighborhood. The closure should not be for commercial purposes; should not block or affect intersections or Muni routes; and should be sponsored by an individual who lives on the block to be closed or a neighborhood organization. All other closures / events should apply for a SPECIAL EVENT permit.

Event Name

Event Website

Event Description

Event Dates and Times

Event Dates and Times are for the event only – concert, gala, etc. – and not for the street closures being requested, which will include necessary setup and cleanup time, etc.

Event Date(s) and Times (include the set up and breakdown times)

Estimated Attendance

Will you post for No Parking?

YesNo

Have you closed this street before?

YesNo

When did you close street?

Is this an Athletic Event?

YesNo

Is this a Film SF permitted film project?

YesNo

If yes, name of Film SF coordinator

Describe the Block Party Activity

Page 3 of 4

Closure Date(s) and Times

Closure Start Date

Type in and select the time in this format: 12:00 AM; 4:30 PM.

Closure Start Time

Type in and select the time in this format: 12:00 AM; 4:30 PM.

Closure End Date

Closure End Time

Type in and select the time in this format: 12:00 AM; 4:30 PM.

Please Note: Applications for block parties and special events are due at least 30 days prior to the event. You may submit a late application to be considered on an emergency basis, but it may not be allowed. You should contact the Temporary Street Closures program at EMAIL or 415-646-2414.

Closure Location(s)

*When entering street names in the three fields below, be certain to enter the precise Street Name and select from the menu's suggested Street Name.

For example: type in MASON ST vs MASON CT vs FORT MASON vs OLD MASON ST, 16TH AVE vs 16TH ST (not case sensitive).

Street

From Cross Street 1

To Cross Street 2

Click the Blue text link below-right to add multiple Locations.

Check this box to enter additional Closure Locations that have different date(s) and/or times from those entered above.

Closure Location(s) with Different Date(s) and Times

*Enter a new Closure Location in this section if the date(s) and/or times of the closure are different than those entered in the Closure Date(s) and Times section above.

*When entering street names in the three fields below, be certain to enter the precise Street Name and select from the menu's suggested Street Name.

For example: type in MASON ST vs MASON CT vs FORT MASON vs OLD MASON ST, 16TH AVE vs 16TH ST (not case sensitive).

Street

From Cross Street 1

To Cross Street 2

Closure Start Date

Closure Start Time

Type in and select the time in this format: 12:00 AM; 4:30 PM.

Closure End Date

Closure End Time

Type in and select the time in this format: 12:00 AM; 4:30 PM.

Click the Blue text link below-right to add multiple Locations.

Closure Location

*When entering street names in the three fields below, be certain to enter the precise Street Name and select from the menu's suggested Street Name.

For example: type in MASON ST vs MASON CT vs FORT MASON vs OLD MASON ST, 16TH AVE vs 16TH ST (not case sensitive).

Street

From Cross Street 1

To Cross Street 2

Closure Date

Closure Start Time:

Closure End Time:

Location Details

Intersection(s) Impacted

(Street(s) @ Cross-street(s)) (separated by a comma)