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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: I P_ ?4 A 0S j7r+DI"n- Submitted By: W G� s'4yl <br />Address: 2,-U° [ 0 N S q— <br />ok��,.a• �z� �rn <br />City: c 3 A tA- <br />State: _ j Zip: �-L-ItWPhone: <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 0 'R O � <br />E] The Board of Public Works 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 held on t� f , 20-/&— and no other date <br />❑ Registration time for the event starts at 9 ` .m .m. <br />❑ Starting time of the procession islA a.m. . .. <br />❑ Estimated completion time is kf-• a.m. <br />This event involves the use of the following roadways <br />[u] 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 />® This event is ocal/ gional/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 />