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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 />1 ` `i� �e $ <br />Sp a ! ____� �(A uhmitted Dy; <br />Address: A5�3AAnr <br />City: nu HI12p 0 <br />State: Zip:Q P11011e: 5-7q" <br />Email: <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: E cX <br />E2'^ The Board of Pub is Works must have FOUR (4) weeks prior notice befo'e event occurs <br />Er 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 , 2018 and no other date <br />[� Registration time for the event starts a 'Ali 6 .m p,m. <br />F] Starting time of the procession is - 6 (,/p.m. <br />Estimated completion time is 145�41a.m,& <br />This event involves the use of the following roadways <br />Q� 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 />[K Participants must stay on the sidewalk and obey all traffic laws. <br />❑✓` This event is loeal/ • ;gional/natlonal event (Please circle the appropriate event type) <br />[✓]� This event will be coordinated with the property owner/business where staging will take place <br />Updated 08/2017 2 <br />