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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: ,,�/ � `oy��Ce Z,.. Submitted By: <br />Address: <br />City: Iyl i6 ��G�Gd. <br />State: % , Zip: �'/� Phone: �S "7�!— 2L/3 *�;// <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: ZO"/ Q /Grt <br />❑ The Board of Public Works must have FOUR (4) eeks 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 4 .L0j-:Z- and no other dateP7� 2 <br />❑ Registration time for the event starts at 9 6./p.m, <br />❑ Starting time of the procession is 7- �2,/p.m. <br />❑ Estimated completion time is a.1116 <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 />This event involves use of a park (Must obtain permission fiom 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 />This event is a local/C-eAio4jAationa1 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 />