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Wk <br />APPLICATION FOR USE OF <br />i% PEACE 'y <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (4) weeks prior notice of the eve <br />Sponsor: ,,�e1Ca��✓ C��� Qc ST 3�j Submitted By: ��71�� � Z20 /G'f�yk) o <br />Address: 31�_ <br />City: ti <br />State: .,� Zip: t4j'& I `1 Phone: <br />Email: -Li,oc��� fZ�� ��. Ccyo <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: kr: ;jo tj's Hceo� <br />The Board of Public Works must have FOUR (4) weeks prior notice before event occurs <br />0" 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 -3o" I , 20A_ and no other date <br />Er Registration time for the event starts at`O' 310 Cm.lp.m. <br />Starting time of the procession is %l ./p.m. <br />©" Estimated completion time ism a.m. <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 />0� 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 />❑� This event is a local • gion national 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 />