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PREMISES INFORMATION
Average annual attendance:
Operating season Start:
Operating Season End:
Number of employees:
Annual Payroll:
Part Time Employees:
Sales/Receipts:
Amusements:
Food and Beverage:
Describe:
Souvenirs / Novelties:
Describe:
Any medical facilities provided or any employed physicians / nurses?
Yes
No
Any storage, treating, discharging, applying, disposing or transporting hazardous materials?
Yes
No
Any operations sold, acquired or discontinued in the last five (5) years?
Yes
No
Do you have any type of machinery, equipment or attractions rented to others?
Yes
No
Any watercraft docks (not bumper boats), floats on premises?
Yes
No
Is there a swimming pool on premises?
Yes
No
Any special events scheduled throughout the year?
Yes
No
Does the Applicant own or lease the facility?
Own
Lease
Any structural alterations contemplated?
Yes
No
Any demolition contemplated?
Yes
No
Please explain any yes answers to any of the questions above.
ATTRACTIONS INFORMATION
Do all ride signs comply with manufacturer recommendations (age, height, and exit)?
Yes
No
Does / has the applicant ever manufactured or retro-fitted any amusements / attractions?
Yes
No
If yes, please provide a list of all such attractions and changes made:
Are amusement devices inspected daily?
Yes
No
Is inspection log maintained?
Yes
No
Are there periodic inspections required by state inspectors?
Yes
No
Are maintenance manuals for all rides kept on premises?
Yes
No
Is there a qualified maintenance staff on site?
Yes
No
Is there an on-site maintenance shop?
Yes
No
Is there adequte maintenance equipment on site?
Yes
No
Are there rides where the operator controls the speed?
Yes
No
If yes, please provide a list and operator trainng required:
Do you provide live entertainment?
Yes
No
Does the facility conduct fireworks display?
Yes
No
If you do sponsor competions, please describe them:
Submit