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�)li'a'id <br />�lS <br />APPLICATION FOR USE OF U?r <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (4) weeks prior notice of the event." 1865 <br />c ""C / <br />Sponsor s a?: a " It C.. Submitted. By: K)y . 1 ,tad f <br />Address: <br />City: ,Sri , J�y <br />State: "TA", <br />Email: Q) 0 h <br />Zip: ( 61 Phone: 5 _7-�/ — ,' — C - c) <br />, I w)4 9 O CA0111IJi <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />49;o on (h w e a - daik-: k4odl` //10K01 , [P'N 0 �, l tr'tah 5rqVAIE <br />PL 'ASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />0CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: I/hq <br />Works must have P"CUf� 4 ^wee C/ <br />I I-e The Board of Pu fic ' (} weeks prior notice before event occurs <br />pC4 r 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 n Q r'4 c� 5, 20 and no other date <br />Registration time for the event starts at (:q a.m p, <br />Starting time of the procession is , 3 o a,rn. <br />Estimated completion time is a.m.f .1i <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 oaea 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 />