Except for assembly occupancies that are classified as Group A or Group E occupancies, the Department has the authority to prescribe or require the development of an approved medical plan for an assembly event for permits issued under Section 57.105.6.5 or Section 57.105.7.1.3 where the Department determines that such event may adversely impact the delivery of public safety services (e.g., the number of people in attendance, diminishing access to buildings, structures, fire hydrants, fire apparatus access roads, etc.) or where such gatherings adversely affect public safety services of any kind. The failure to secure approval of a required medical plan or to implement an approved medical plan may result in the denial, suspension or revocation of a permit issued under Section 57.105.7.1.3.