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Jan 22 1812:50p Faslslgns South Bond <br />5742640535 p.2 <br />, rrs <br />APP)C ICA ION FOR USE OF :lvl ',' <br />it l r_uw I. <br />PUBLIC RIGHT-OF-WAY FOR. PROCESSIONS ; �.:;: : Rhi.��:, 4 i <br />� <br />The Board of Public Works mlist have I'OTJR (4) weeks prior notice of the ever:', 'rnrG":, .x.' <br />Sponsor: Ri AK R0.VV ,'1t S-OC, Stt witted By: 00,,1tq- 'NUA-r' <br />Address: 2 t}u JJ� iS� tUIIGI R A ��. <br />City: ou- <br />State: —IN 1zip: 1 � ^ i'hane �� � � �U q� <br />l�rnaii: _ c�Ul�liutl�tu.-SPX" Ytin �-c.aq�l <br />Sponsor may use the public right-of-way described as (describe route and attach rnap) <br />Alo <br />PLRA.St NOTE, THE SOUTH OR". T' LICK ➢EPAR'ltNRN'I' MSEIE VES THE RXGITT TO <br />CHANGE YOUR ROTJTR FOR SAVETY i" UR-POSES <br />Event name: V"t - D QN eq in ,t <br />❑ The Board of Public Works must h ve FOUR (4) weeks prior Notice before event occurs <br />❑ All certificates of insurance, pre paid costs, Maps, and any other applicable infonnation requested <br />or required by the $card of Public Works have been provided with this application <br />❑ The event shall be held on j Al r„ , 20 Q and no ether date <br />❑ Registration time for the event starts at a'I ./p.111. <br />❑ Stading time of the procession is _Ap, <br />❑ Estunated completion time is . a n !p.►n. <br />This event involves the use of the fallowing roadways <br />® This event involves closure of City res idential sireets <br />❑ This event invplves County .roads <br />❑ This event involves State highways <br />❑ This event involves use of a park (iviust obtain permission from Park Board) <br />❑ I understand that I must arrange a weeting wi -b all affected governmental agencies to <br />organize the above overt (Call Marcia Qualls, Customer Service Manager, 235-5939 <br />to organize meeting) <br />❑ This event involves the we of the sidewalk <br />❑ Participants mast stay on the sidewalk and obey all traffic Iaws. <br />❑ This event is a lacailrogional/national event (Please circle the appropriate event typo) <br />❑ This event will be coordinated with the property owner/business whuye staging will take .place <br />Updated 08/2017 <br />