Forms • City of Marina • CivicEngage

Production Company Name*

Address*

Telephone*

FAX Number

Title of Project*

Type of Production

Brief Description of Project*

Will there be celebrities to attract crowds?

If yes, please list

Website of Company / Project

Contact Information. Please insert Name, Title, Cell number, Email.*

Film Site Information

Date*

Time*

Location*

Activity*

Personnel on Site

Crew*

Cast*

Extras*

Animals*

Pyrotechnics*

Pyrotechnician

Name

Lic.#

Vehicles and Equipment

City Personnel and/or Equipment Needed

	Parking Spaces
	Other

Please Specify Personnel/Equipment Need

Conditions of Approval:

Approval contingent upon submittal of appropriate insurance coverage, applicant's possession of a current business license, payment of fee(s).

** THIS APPLICATION MUST BE KEPT ON SITE AT ALL TIMES **

* indicates required fields.