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Sponsor: <br />Address: <br />City: <br />State: <br />045oUTH 8Eti <br />d_ <br />APPLICATION FOR USE OF F U =� 2 <br />W PEACP.� y <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS m- `_ , <br />The Board of Public Works must have FOUR (4) weeks prior notice of the event." 1865 <br />BY: QC1 r f�a��+ �1- �Z� -174 <br />Sponsor may use the public right-of-way desciibcd as (dweribe route and attach map) <br />THE SOUTH BEND POLICE DEPARTMENT RESERV. <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />RIGHT TO -I V v <br />Event name: �� ��. � ��C �I�iG� �(, R! q L4k 1 1L�C�[,kQW(V1 V�( P'L iL4), ������ <br />❑ The Board of Public Works must have FOUR (4) weeks priorjnotice before eve occurs Q ,,' <br />❑ All certificates of insurance, pre -paid costs, maps, and any other applicable information requestedR� <br />or required by the Board of Public Works have been provided with this application - <br />❑ The event shall be held on _ L r 20_1_�Q_ and no other date <br />❑ Registration time for the event starts at U:q�- a. p.m: <br />❑ Starting time of the procession is 514�L a.m n.m. <br />❑ Estimated completion time is —67—Lb a.m p.m. <br />This event involves the use of the following roadways <br />M/ This event involves City streets <br />❑ This event involves County roads <br />❑ This event involves State highways <br />❑ This event involves use of a park (Must obtain permission from Park Board) <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 ent involves the use of t,ae sidewalk <br />[Participants. must stay an the sidewalk and obey all traffic laws. <br />❑ / This event is <br />event (Please circle the appropriate event type) <br />This event will be coordinated with the prcperty owner/business where staging will take place <br />Updated 4/06/16 <br />