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APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must b4ve FOUR (4) weeks prior notice of the <br />Sponsor: -E CLSubmitted By: O 0y. t- ' `CC -.a AA <br />Address: 11 a U 0!5p, x D R, U .c <br />City: So %"40-� Rw" <br />State:Zip: Phone: 1. -1L�) C6�-�a� <br />Email <br />Sponsor may use the public right-of-way ttsscribed as (describe route and attach snap) <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT R.ESER.VE8 THE, RIGHT TO <br />CHANGE YOUR ROUTE TOR. SAFE TV PURPOSES <br />Eventname:S " v,I e W car '�IerLk <br />[ [ The Board of Public Works must have FOUR (4) weeks prior notice before e ent 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 ktr 21 , 20, t Y and no other date <br />Registration time for the event starts at -7 ' /p.m. <br />Starting time of the procession is ` /p.m. <br />Estimated completion time <br />This event involves the use of the following roadways <br />W 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 fiom 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 a local/ , 'ou national event (Please circle the appropriate event type) <br />[ This event will be coordinated with the property owner/business where staging will tape place <br />Updated 08/2017 2 <br />