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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: '(Ami A <br />Lv,.,kj:f y- Submitted By: <br />Address: <br />City: <br />e <br />State: Zip: t Phone: c <br />Email:�Ak\(-4v, vy rk6) <br />Sponsor may use the public right-of-way described as (descry e 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 : <br />❑ The Board of Public Works must have FOUR (4) weeks prior notice before event occurs <br />F-1 All certificates of insurance, pyre -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 />F-1 <br />"jThe event shall be held on ,Tyr &j 20'i and no other date <br />F-1 Registration time for the event starts at a.m./ m, <br />Stai -ting time of the procession is p.m. <br />F] Estimated completion time is a. rn, (ED -1 <br />This event involves the use of the following roadways <br />This event involves closure of City residential streets <br />F-1 This event involves County roads <br />']'his 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 ,— Nmadq P-n d�d4a,10W <br />E� Participants must stay on the sidewalk and obey all traffic laws. /' 4 0 d A <br />This event isa egional/national event (Please circle the appropriate event type) <br />(0=�A/r, <br />This event will be coordinated with the property owner/business where staging will take place <br />Updated 08/2017 2 <br />wa <br />