Association - Demande d'autorisation de manifestation

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 DEMANDE D’AUTORISATION 
 DE MANIFESTATION
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 Ce courrier doit 
 être 
 adressé
 à 
 Monsieur le Maire, 15 jours minimum avant la date prévue
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 MAIRIE DE …
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 Monsieur le Maire
 
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 RUE
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 CODE POSTAL  VILLE</td>
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 Nom de la l’Association :</td>
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 Adresse : </td>
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 (n°) 
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 (rue) </td>
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 Code Postal:</td>
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 Tel. :</td>
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 Nom et qualité du 
 demandeur (Pdt, membre, etc.) :</td>
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 Adresse : </td>
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 (n°) 
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 (rue) </td>
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 Code Postal:</td>
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 Tel. :</td>
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 □ 
 
 J'ai l’honneur de solliciter de Monsieur le Maire de … 
 l’autorisation :
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 D'organiser 
 une manifestation,
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 Intitulé de la manifestation 
 : (cocher la case correspondante)</div>
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 □ 
 soirée privée</td>
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 □ 
 concert</td>
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 □ 
 kermesse</td>
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 □ vide grenier / vente au déballage</td>
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 □ 
 exposition</td>
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 □ 
 manifestation sportive</td>
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 □ fête</td>
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 □ 
 salon</td>
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 □ …</td>
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 Animation musicale</td>
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 □  
 
 
 oui</td>
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 non</td>
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 Etude d’Impact Nuisances Sonores</td>
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 □  
 
 
 oui</td>
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 □  
 
 
 non</td>
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 Autorisation 
 d’exploitation sous forme d’ERP</td>
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 □  
 
 
 oui</td>
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 non</td>
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 au lieu-dit</td>
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 (n°)</td>
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 (rue)</td>
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 Code postal :</td>
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 Ville :</td>
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 le (jour)</td>
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  (date) </td>
 <td width="25%">20..</td>
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 <td width="25%">Horaire</td>
 <td width="25%">de ... heure</td>
 <td width="25%">à ... heure</td>
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 □ 
 Et/ou 
 d’établir un débit temporaire de boissons 
 
 :</div>
 
 
 
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 Boissons du 1er 
 groupe</td>
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 Boissons sans 
 alcool ou ne comportant pas, à la suite d’un 
 début de 
 fermentation, de traces d’alcool supérieures à 1,2 degré.</td>
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 Boissons du 2ème 
 groupe</td>
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 Boissons fermentées non distillées (vin, bière, cidre, poiré, 
 hydromel), 
 auxquelles sont joints les vins doux naturels bénéficiant du régime 
 fiscal des vins ainsi que les crèmes de cassis et les jus de fruits 
 ou de légumes fermentés 1,2 à 3 degrés d’alcool.</td>
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 Demande faite le : ____________________  20 
 _____ 
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 Signature 
 obligatoire :
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 Pièces à joindre 
 : Voir la liste des documents nécessaires à l’instruction du dossier selon 
 le type de manifestation.

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Lettre administration

Lettre famille

Lettre Consommation

Lettre Entreprise

Lettre Emploi

Lettre motivation

Curriculume Vitae

Association - Demande d'autorisation de manifestation