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08/18/2017 19.33 1574234e338 MARTIN <br />PACE 01 <br />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: Submitted By: _ t d" �� �"t r►� �ichv�c�l�: ti�xti1 <br />.Address: <br />City: 50�,-rh $=nL\ <br />State, Zip: bra 1 f, Phone: �5_ .1'A " — . - o � '�act.. <br />Email: ca.�_L�; Lc �(lftc i�C` `� l ran ., ::tom ._.., ny.{ <br />Sponsor may use the public right-of-way described as (describe route and attach map <br />lc�cc-h ��.:�� �r� �.����...c�1?n u.�cx.t.� ��,y�;�;,-�--�•�.�.t°�� �,.�G:.�V';""C- tiri�c� . <br />PLEA NOTE. THE SOUT11 BEND POLICE EPART T RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />1 EVe4t The Hoard of Public Works have 4UR�a� weeks notice � �l �� �v� �� � ❑" () Tp • ce before event oceu .kl <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 OC_IUAg�: O , 20 t�� and no other date <br />Registration time for the event starts at <br />Starting time of the procession is 6', ` D./p.m. <br />Estimated completion time is R P� 'M./p.m. <br />This event involves the use of the following roadways <br />❑ 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 Parr 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/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 />