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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: 'YMCA of Michiana <br />Address: 1201 Noilhside Blvd <br />City: South Bend <br />State: IN Zip: <br />Submitted By: Dani Elgas <br />46615 Phone: 5742879622 <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />Northside Blvd from Riverview Family YMCA towards Ironwood, onto Pleasant, right on 27th, <br />down to Pleasant then turn around at dead-end. before Logan <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CH GE YOUR ROUTE FOR <br />ySAFE TY PURPOSES <br />Event name: � *a— '1 7 (- I' CAN 1 GQn <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 SEPTEMBER 24...................., 2017 and no other date <br />® Registration time for the event starts atC , a.m./ .m. <br />® Starting time of the procession is a.m./p.m. <br />® Estimated completion time is 12 a,m./p.m. <br />This event involves the use of the following roadways <br />® <br />This event involves City streets <br />❑ <br />This event involves County roads <br />❑ <br />This event involves State highways <br />® I understand that I crust 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 ---> ljo uxt o 01 Po nk a Pe ct-- <br />® Participants must stay on the sidewalk and obey all traffic laws. <br />® This event is a local/regional/national 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 6/25/12 <br />