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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: National MS Society Submitted By: <br />Address: <br />City: <br />State: <br />3500 DePauw Blvd, Ste. 1040 <br />Indianapolis <br />IN <br />Zip: <br />Jennifer V. Liddell <br />46268 Phone: 317-870-2501 <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: Walk MS: Michiana 2017 <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 May 6 2017 and no other date <br />❑ Registration time for the event starts at 8 a.m. <br />❑ Starting time of the procession is 9 a.m. <br />❑ Estimated completion time is 12 p.m. <br />This event involves the use of the following roadways <br />X 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 />X 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 />X This event involves the use of the sidewalk <br />X Participants most stay on the sidewalk and obey all traffic laws. <br />❑ This event is a local event (Please circle the appropriate event type) <br />❑ This event will be coordinated with the property owner/business where staging will take place <br />Updated 4/06/16 <br />