Laserfiche WebLink
APPLICATIOP,FOR7;$1SE OF <br />The Board of Public Works must have FOUR (4) weeks prior notice of the <br />Sponsor: Submitted _& <br />Address: <br />City: <br />State: Zip: Phone: <br />Email: <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />A <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Event name: LICR-K w5taj 4­1 N'PL) , ( )eal, K ­ �y ­­ IAO/j <br />Fj The Board of Public Works must have FOUR (4) weeks, prior notice before event occurs <br />F-1 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 />F-1 The event shall be held on 67 _L5o7 3, 1- 20_ and no other date <br />i <br />Registration time for the event starts at PA&./P.M.O <br />❑ Starting time of the procession is <br />Estimated completion time is _Z_�_ ain? C-19. <br />This event involves the use of the following roadways <br />0This event involves closure of City residential streets <br />El 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) � 1"hl 1` ' <br />This event involves the use of the sidewalk I <br />Fj�Particip ants must stay on the sidewalk and obey all traffic laws. <br />MR This event is 00_00egional/national event (Please circle the appropriate event type) <br />[2This event will be coordinated with the property owner/business where staging will take place <br />Updated 08/2017 2 <br />