Laserfiche WebLink
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: Submitted By:c/ <br />Address: 19 o a <br />City: & t"Cm -� <br />State: f1i Zip: ( [ i Phonc: 3 `% 3 -5/a,3 <br />Emai <br />l: d�� ors <br />S <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: 5of t' ire _ no f .E y��C r�-crier Pc��a_ <br />Ig The Board of Public Works must have <br />(4) weeks priorYotice 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 />(}�c The event shall be held on 6�Wt- c,) I , 20 1 S and no other date <br />Registration time for the event starts at a.m p.m. <br />[ Starting time of the procession is <br />,® Estimated completion time is 6 a.m p.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 />❑ This event involves State highways <br />❑ This event involves use of a park (Must obtain permission from Park Board) <br />zF& 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 />I el <br />This event is 41'locaj_�regional/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 <br />