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APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (d) weeks prior notice of the <br />Sponsor: �1VC1([r. ���aU C6k Submitted.By: Ayilk Ael g S <br />Address: �,1'li�t0 �' C _ <br />City: Se)tA44) V'�rl <br />State: dip f Phone:' crr�¢ od <br />Email: !' <br />Cc - <br />Sponsor may use the pudic right -of way 'described as (describe route and attach map) <br />PLEASE NOTE: THE SOUTH BE, POLICE DEPARTMENT RE' SERVE THE RIGHT TO <br />RleaL. <br />CHANGEYOURROUT OR SAFETV PURPOSES <br />Event name: <br />The Board of Pu is Worl<s 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 hold on 20 _ and no other date <br />Registration time for the event starts at /p.m. <br />Starting time ofthe procession is�' � ,tn (P.M.— <br />[]� Estimated completion time is 101,06 <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 />[f This event is looall egional/natlonal ovent (Please elrcle tlfe appropriate eventtype) <br />[✓ This event c ll be o rdinated with the property owner/business where staging will take place <br />;i �l W' ks 6ol ~ pa►�I"0160- L* <br />� <br />Updated 08/2017 2 <br />