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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: %f' P PC•C Lam- �7c�/i aZ <br />Address: 10,3 <br />City: <br />State: ,� ' '� Zip: <br />Submitted By: <br />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: z4 W -e-x el�� <br />❑ The Board of Public orks must ave 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 />❑ event shall be held on le - <br />The 4_� and no other date <br />❑ Registration time for the event starts at --, - a�/p.m. <br />❑ Starting time of the procession is &0da.m. r <br />❑ Estimated completion time is 2, 00 a, p.ami. <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 />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 local/r gional/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 t <br />