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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) weeks prior notice of the <br />Sponsor: 4McK_j'cAjj 1,L-ej0j4 LZI`at&j Submitted By: <br />Address: 4L,24 g <br />6T <br />City: , 1_vW44_jA.V_4 <br />State: Zip: 06 6'Y Y Phone: .,5-Y 7 - /r -7,f— <br />Email:► 4 t1w, C 0 <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: r,-A. 1-t -OcLi' F,4 , V Z. i"a e- <br />F-1 The Board of Public Works must have FOUR(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 � X0 20j,!i( and no other date <br />Registration time for the event starts at T 00 ct�")/P.m. <br />Starting time of the procession is <br />F] Estimated completion time is _CU? a.m./(.m <br />This event involves the use of the following roadways <br />❑ This event involves closure of City residential streets <br />M 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 />F-1 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 />El This event involves the use of the sidewalk <br />F] 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 />�1011 <br />111 This event will be coordinated with the property owner/business where staging will take place <br />Updated 08/2017 2 <br />