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City of Cleveland

dominique.green@cityofclevelandms.com

100 North Street, PO Box 1439, Cleveland, MS, 38732, US

662-846-1471

Document Signers
    • 1 Block Party Coordinator

    • 2 Buster Bingham

    • 3 Greg Jackson

    • 4 Ray Bell

    • 5 Dominique Green

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Before you begin the application, please print the Block Party Signatures Form to obtain the signatures from the residents that will be impacted by the proposed event.

Upon obtaining the required signatures, complete this application and attached the Block Party Signatures Form. The application will be considered incomplete with the attachment of the Block Party Signatures Form.

Additionally, you are required to remit a non-refundable application fee of $25.00 prior to submitting the application.

Should you need assistance, please contact the City Clerk's office at 662-846-1471.


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Signature HereClick to Sign
Signature HereBuster Bingham Will Sign Here
Signature HereGreg Jackson Will Sign Here
Signature HereRay Bell Will Sign Here
Signature HereClick to Sign
12/02/2021Click to Sign
Signature HereDominique Green Will Sign Here
12/02/2021

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