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application only. 17,vont Ond (ill les wu•E: pursualII t(► tllc I-ccolI)nIelldatiolIS oI,thc Solid) I3caid Po icc <br />13, IV AI_C'01dOi., IS'I'() y(tier I(3c'Ml.(ff} <br />ells( be Stibrlilued with applicwohn. The aWAUsk on uniiIlot be proccsNed without a dcposil,'1'ho: <br />dcposiI will he rcturricd by (hc Board of Ilutit ic W01'I(8 upon inspcclioil of' the cwt)( arca aficr the <br />evctit, niid provided Ihere IS no dan Ingo to Me am, Nantes, phone-uuniher's, and (IIinIilic:ations <br />(O'g. Off -duty police officer, professional security guard, or cvwd API'l., CAhM) of •1'f=1E EF, <br />seewlyguards to Illonhor undC.1•wtp dr(nl(rng, must bcsuhnliuc.(I with tlla application. A dluwilsf; <br />1'I111st be sublllitted Showllig awn, all([ trash r ecepla0les, Fora 10111porary <br />liquor' liccilse, call the Alcohol and 'Tobacco (.'onnlission at (317) 234-4 1,5 for more <br />hiformallon• Apphcadon aftilnot be processed without a copy of`this license. <br />ICI, APPLICANT agt'ces to indolllEl Y, Almd nml hold hnnnlcss talc Civil ("ity of' South facie-(, <br />Indiana, firolil any liability, foss; costs, dalliages or cxpertseti, ine:hlclilit; atlornc�+ fc(s, whicll tilt <br />(�;1v►I (.Ily C)f 5()lltll 1.3CE1Cl, Illwly Sllf ICI' l)I' IIlC'lIE' as it 1'(aStEll Uf awl}+ E:IilIn15 cif' wl[:tl(Mns 14rlil(;ll lllily be <br />nlsule, by wily poison, hw6dog a participant in tilt: activity, Arising oil( of' (Ile approval [)f this <br />rcyticSt Ily [Ile, Board orPublic Wod(s to close a portion of the: plibiic! righ(-ol •way for' the evcill <br />described above. <br />I hwll%C. I'L',lCl tliu Apl)hE:i1tI0El illl[I I�[:ClTlit inid thG tlgreamcnt fnr the "l Jsc of'1tit;ht•[)f=4Vwl,y lily Sl.lce i,ll <br />Events":Ind I illldersWild and ag CC 10 (Ile al)(WO I'LlICS acid R1_0111atE(H15. I also 1111dQltiland (hat this <br />application nu€y he dellied based oil any fillsc or inconipletc information. <br />Dated this 11 A (lay of 20 <br />Af'I LIC'AN•1' Signattire <br />Printed 114111110 <br />k101A W OF I'IJ1)1_.IC,, WORKS APPROVAI, <br />..._ <br />I'r csidcrll [vlclltbc l' Niel 111 , ' ` <br />i\+Icrnbcr' Alei lbel' Dale <br />R11; t't)RIN li()ItN TO: <br />Board of Public worl(s <br />1316 Courtly -City liuildiug <br />227 Wesl Jef'(c son 130LIICVard <br />South Bend, IN 4660I <br />Phone; (574) OZ35-9251 <br />