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APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS j <br />cr, <br />The Board of Public Works must have FOUR (4) weeks prior notice of the event. <br />Sponsor: M&v-e%rkypJr: _C �60&e Submitted By: <br />Address: 1169d <br />City: Got c6e-y\ a <br />State: Zip: tqPhone: 5 1 kA - V64 - -7'"? 9 45 <br />Email: &V St"\6wela 'e-A-S IAOX)S�P_ - nf Q <br />Q 01404%ke� <br />Sponsor may use the ublic right-of-way described as (describe route and a-4ach map) <br />10,11\114 S COV" CAY V%)iUtft�- R OV\ 1,4A&IJA44 'kV "Wkt iV MA:%V% <br />'co AM w4%k�-tyy\ - . C-- IVA&% Sk-01" <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT REftRVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: W�Akk-ql \AaXk� 20ki <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 orks have been provided with this application <br />�400 1% <br />The event shall be held on S%20 1 and no other date <br />Registration time for the event starts at ---I— a,m,(p;� <br />Starting time of the procession is Z' 30 a,rn p.m <br />Estimated completion time is 4'.30 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 />El 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 />JK This event involves the use of the sidewalk <br />[Z Participants must stay on the sidewalk and obey all traffic laws. <br />This event is I ooca"/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 />