Laserfiche WebLink
C <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 el <br />Sponsor: Submitted By: 1-1i1o� <br />Address: Z 3 i Z <br />City: <br />State: _:i::7-J Zip:Phone:7� r z Zz(4 <br />Email: _ /t° l5 �':��z.'/, 'f'� <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: &yhl; l f E,vf�r�.r;I� C �� �� 411�lr�. <br />❑ The Board of Public Works must have 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 />❑ The event shall be held on .5iSr t_Le, 20 17 and no other date 104V J / %� ' C <br />❑ Registration time for the event starts at a.m./p.m. C, <br />❑ Starting time of the procession is _(� a.m�.m� '"� _1e_115251?'� <br />❑ Estimated completion time is I a.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 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 :Oca •egionai/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 />fry %j I [/ el- j �?rx1 /[ l �J %� fCr,C z!C� "'-le <br />Updated 08/2017 �cw �,�/�: (lf/�r ��/�; 7 L • `� 2 <br />