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APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (4) weeks prior notice of the <br />Sponsor: A Positive Approach to Teen Health Submitted By: Donna Golob <br />Address: 5997 Carlson Ave. <br />City: Portage <br />State: IN Zip: 46368 Phone: 219-254-2678 <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />5k Run takes place at the Career Academy of South Bend, Nimtz Hwy (see attached map) <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: -Ta( yk%\I Tfipi - <br />® The Board of Public Works must have FOUR (4) weeks prior notice before event occurs <br />® All certificates of insurance, pre -paid costs, maps, and any other applicable information requested <br />or required by the Board of Public Works have been provided with this application <br />® The event shall be held on THURSDAY, NOVEMBER 24 2016 and no other date <br />® Registration time for the event starts at 6:30 a.m./p.m. <br />® Starting time of the procession is 8 a.m./p.m. <br />® Estimated completion time is 10 a.m./p.m. <br />This event involves the use of the following roadways <br />® This event involves City streets <br />® This event involves County roads <br />❑ This event involves State highways <br />® I understand that I must arrange a meeting with all affected governmental agencies to <br />organize the above event (Call Marcia Qualls, Customer Service Manager, 235-5939 <br />to organize meeting) <br />❑ This event involves the use of the sidewalk <br />❑ Participants must stay on the sidewalk and obey all traffic laws. <br />® This event is a local/regional/national event (Please circle the appropriate event type) <br />® This event will be coordinated with the property owneribusiness where staging will take place <br />Updated 6/25/12 <br />