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Epi31';� <br />APPLRCA`ICII0Ir FOR SE OF <br />PIJl«l. K,' RIIGl11f'li •-OF,,WAV 11POR IPROd.:EMlf.ON <br />The Board of Public WorlcS must have FOUR. (4) weeks prior Notice of the (.,vent.'.'.Ptir, <br />Sponsor: submitted By: — _ 1 .. Dr o,-n <br />Address: <br />City: .-- <br />_,, jj J4 ({ �} F � <br />,State, _-I�6---...__. Zip: `1Li/.1/ Phone:(- �� �--_ - - <br />Sponsor may use; the public right-ofway described as (describe rotate as d aattaaelk rlkBAP) <br />SQPUl['H l3" EIND lipOl[.,lI 1C D NETAIRTIVIENT RESERVE STIEI E tUGHT TO <br />CIEIIANr{ b, YOIJR RM'1 IK IrMI SAll-s`E"11W PURPOSES <br />Event narne: � 0,NA QkDL,--�C-L 0 t� _� � �� — <br />[ '1`hc Board of Public Works must h ie POUR (4) weeks prior notice: before event occurs <br />All certificates of insurance, prepaid costs, i aps, 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 , 20 � and no other date <br />Registration time for the event starts at Le-L . p.rn. <br />Starting time of the procession is a.r3 Ip.rn. <br />Estimated completion time is � a.n Ip.m. <br />This event involves the use of the following roadways <br />event involves City streets <br />.j P%is event involves County roads <br />[ �fhis event involves `Mate highways <br />[ �-PThis event involves use of a park (Must obtain permission fr•on-I Park Hoard) <br />"I 9 gokodeft°stail s➢ that t< tk,flrst rak,R'nrifte a HIMikig With all affected governmental a genciies to <br />1���ok°l;aiki a the above event (Call Makk•eia Qualls, Customer er Sevvice Manager, 23 5.5939 <br />to on° anize Ineding) <br />'Plus event: involves the use of the sidewalk <br />F- <br />q-"' Prarticipaant, must stay on the sidewalk and obey salt traffic laws. <br />This event is kkoca <br />(Please circle the appropriate event type) <br />This event will be coordinated with the properly ownerlbusinem where staging will take place <br />Updated 4/06/16 <br />