Procession - South Bend City Church

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APPLICATION FOR USE OF 1"11111,IC ItlC;llT-Ole-WAV FOR PROCESSIONS ,Y raM�, The 130;11'd of Public Works must have FOUR (4) weeks prior notice of the event." llnlsol: JCi�J� �...�cCiT ok"I-A 8l1I)ITI ted 13 W W��`/,AA \/AZ.e-1 - 1 _ Address. �(j �O x - — --- State.': Zip: I'hone; Sprnlsor Illay use the ollblic right -or -way described as (describe route and nttacb map) 11, EASE NOTE. nilz souTH BEND POLICE 1)1.1'A1t`I'i►/fl�'.N7' ltlf Sly 1tV[ ,'�'1'1lf 1�1 1i1' t'C) l CIIANGIP , 'l Otllt R01JTIs' FOR 8Al FIN P U R VONI� 8 1"vel)t nxlne-[�ne-�_� The Board of Public Works must have FOUR (4) weeks peior notice before event occurs ❑ All Certificates of insurance, jue-paid costs, reaps, Find any other applicable information requested or required by the Board of Public Works linve 1)MII provided with this application The event shall be held on 1 'try 3 , ?U 1 7 and no other date Registration tine col- Elie event starts il.ln, p.nl. ❑✓ Starting, time of the procession is G''•36 a,m, p.m Estimated completion time is ; W a,nl. —111. This event involves the; use of the following; rondways This event involves City streets ❑ This event involves County roads ❑ 'Phis event involves 8tute highways ❑ 'Phis event involves use of a pork (Must obtain permission from Park Board) I an( erstand fhat I must orrllnt;e 11 meeting With all affected governmental ligelicies to organize the above evelEt (Call Marcin Quallu, Customer Service Manager, 235-5939 to organize meeting;) {]` This event involves [lit! use of the sidewalk ParlieillilllIIN IIIIISt Ntlly t111 the .600- snik.luld obey 1111 trslffic laws. ❑� 7'llis event is rfc egional/national event (Please circle the appropriate (:wall type) [✓ This event will he coordinated with the properly owner/business where staging will take place See qd4a c 11 m e /t 'r Updated 4/06/16