Laserfiche WebLink
08-21-' 17 15:04 FROM- <br />5742396407 T-674 P0001/0007 F-072 <br />APPLICATION FOR USE OF <br />PUBLIC PJGRT-Op='i7V'A'lit' VOR PROCESSIONS <br />The Board of Public Works must have FOUR (4) weeks prior notice of the <br />Sponsor: Church Warld Sendoe <br />Address: 28606 Phillips St PO Box 968 <br />City: Elkhart <br />Submitted By: Tom Whipkey <br />1139 Miner St <br />South Bend IN 46617 <br />State: 1N Zip: 40515 Phone: 574 405-9240 <br />Email: ,_,_, 1whipkEW&att.nnj <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />PLEASE NOTE: TI1, SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: St Joseph County Crop Walk <br />❑x The Board of Public Works must have l;O[.JIR (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 Sept 24 , 2017 — and no other date <br />❑x Registration time for the event starts at noon a.m./p.m. <br />❑x Starting time of the procession is no pm a.m./p.m. <br />❑x .Estimated completion time is4.Q4_p a.m./p.m. <br />This event involves the use of the following roadways <br />[j This event involves closure of City residential 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 />x❑ I understand that I must arrange a meeting with all affected governmental ageueieg to <br />organize the above event (Call Marcia Qualls, Customer Service Manager, 235-5939 <br />to organize meeting) <br />0 This event involves the use of the sidewalk <br />F] Participants must stay on the sidewalk and obey all traffic laws. <br />x I 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 08/2017 2 <br />