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APPLICATION FOR USE OF <br />PUBLIC RIGHT-O&WAY FOR PROCESSIONS <br />The Board of Public Works must have TOUR (4) weeks prior notice of the <br />Sponsor: f ,l rst �� -7j IT Submitted By: 0 �t.c Ivy,. <br />Address: <br />City; <br />State: N Zip: t_t t, ySL Phone: <br />Email.. So yv"'t to-e (3 �­t -'e C <br />Sponsor may use the public right-of-way described as (describe route and attach snap) <br />PLEASE NOTE: THE SOIITH BEND POLICE DEPARTMENT RE, SERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFE, TV PURPOSES <br />Event name: CtwsS <br />❑ The Board of Public Works must have ISO (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 ( (, 20 tg and no other date <br />❑ Registration time for the event starts at 'G dD./p.m. <br />❑ Starting time of the procession is c a. ./p.m. <br />❑ Estimated completion time is 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 />i <br />2( 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 />Q/ This event will be coordinated with the property owner/business where staging will take place <br />Updated 08/2017 2 <br />