Juab County  Filming Request Application 
Please fill out form at least 14 days prior to event. Application will be reviewed by the appropriate county or city official who can request more information as needed and who will provide final approval.

COPY OF INSURANCE: A copy of Applicant's commercial general liability (CGL) insurance policy must be
provided prior to issuance of permit. The limits of the CGL insurance policy will be no less than one million
dollars ($1,000,000.00) per person per occurrence and three million dollars ($3,000,000.00) aggregate.                      

APPLICATION FEE: A non-refundable $50.00 application fee will be charged for each Special Use Permit
application. The application fee must be paid before Juab County will review the application

To be paid by:  Check ( sent by mail, made payable to Juab County 160 N. Main St  Nephi, Ut. 84645)
To be paid by:  Credit Card (completed over the phone @ 435 623-3410 )




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Project Name: *
Project Contact:*
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Address:*
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Phone Number:*
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Email:*
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Proposed Location (s) within the County

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Proposed Date (s) Beginning & Ending:* *
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Proposed Times for Event, Set up & Clean up*
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Use the space below to itemize anticipated additional services *
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The project is (check one): *
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Additional Notes or Information
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