Laserfiche WebLink
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: 1 ret9 OVA Ale-%Ayj_Njrh jWbmitted By: ")nmL COL <br />Address: sue?II(vo I a nT W}Rd 5ut+r-Z,p2 <br />GtP0 <br />State: 1Zip: qUy= Phone: 574 _703—Iq`aQ <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 />n CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: Q>i11jS r)n 4-be Ili_ n 5K <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 fi fomration requested <br />or required by the Board of Public Works have been provided with this application <br />❑ The everd shall be held on _ MOLV 1 ? , 201-7 and no other date <br />❑ Registration time for the event starts at __L(Dp.m. <br />❑ Starting time of the procession is65 at p.m <br />❑ Estimated completion time is IQ r� -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 />[r 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 />❑ 111is event involves the use of the sidewalk <br />❑ Participants must stay on the sidewalk and obey all truffle laws. <br />❑ <br />This <br />event is a local/regional/national <br />event (Please circle the appropriate event type) <br />❑ <br />This <br />event will be coordinated with <br />the property owner/business where staging will take place <br />Updated 6/25/12 1 <br />