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APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (4) weeps prior notice of the <br />Sponsor: LAA,j .Q_t K'Alm-o'107 Submitted By: ✓ ,_... mu""' <br />TM <br />,address: �.CL <br />M.r <br />City: <br />State: Zip: 2_0- ',,��" Phone: L <br />Email: 6' <br />Sponsor may use the public right -of vyay described as (describe route and attach map) <br />PLEASE NOTE: THE SOUTH BENT) POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: ...;., wr:.. ' :_ \ <br />The Beard of Public Works must have FOUR (4) weeks prior notice before event occurs <br />All certificates of insurance, pre -paid costs, naps, and any other applicable information requested <br />requiredor y Boardthe Works have been provided with this application <br />The event shall lac heldf Pub is <br />r 20-— and no other date <br />❑ Registration time for the event starts at a.rn. in., <br />❑ Starting time of the procession is�,a.m. p�u; <br />f.. <br />❑ Estimated completion time is .. L a.m..mm, <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 (walls, 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 a <br />event (Please circle the appropriate event type) <br />❑] This event will be coa"'pclinated with the property owner/business where staging will take place <br />Updated. 08/2017 2 <br />