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C?v opo <br />W" <br />ID <br />Sponsor: <br />APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (4)Wy <br />weeks prior notice of the <br />1 r (Sub i t: ` /G�' O�1 <br />4 <br />Address: &a At <br />City: <br />State: Gip: Phone: <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: - fd p <br />❑ 'The Board of Public Works must have POUR (4) weeks prior notid 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 , 2017 and no other date <br />❑ Registration time for the event starts at5Q rr Ip.m. <br />❑ Starting time of the procession is G ��a m /p.m. �, <br />❑ Estimated completion time is`L a,rn(p.r. <br />This event involves the use of the following roadways <br />Ef 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 event involves the use of the sidewalk <br />❑ Participants must stay on the sidewalk and obey all traffic laws. <br />0 This event is a loca regional/national event (Please circle the appropriate event type) <br />❑r This event will be coordinated with the property owner/business where staging will take place <br />Updated 4/06/16 <br />