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City of South Bend Special Event Application <br />City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Section A - Applicant Information <br />Date of Application: 3-2-21 _____ Organization Name: Chet Waggoner Little League <br />------_ <br />Applicant (Contact) Name:Jamle Pluta <br />Applicant (Contact) Phone: 574_360-7276 <br />Address: 23066 Acacia Place <br />-------------------------------------- <br />Contact Email: jplutalight@aol.com <br />City/State/ZIP:South Bend IN 46628 <br />_________ <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: ___________________________________ Contact Name: <br />Contact Phone: Contact Email: <br />Address: ................ City/State/ZIP: <br />Section 8 - Event Information <br />Opening Day Parade Parade <br />Event Name: W_______ ____—___ Event Type: (Festival, Race, Parade, Other):_______-__ <br />Event Classification: A Non -Profit` ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): Non Profit <br />*The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Date of Event Setup4-24-21 <br />[mm/dd/yy]: - -------- <br />Begin Date of Event [mm/dd/yy]: 4-24-21 <br />End Date of Event [mm/dd/yy]: 4-24-21 <br />Event Cleanup Completion [mm/dd/yy]: 4-24-21_ _____________.- <br />Total anticipated attendance 500 <br />The proposed event will require the closing of: ❑■ Streets <br />Time: 7'30 AM <br />Time: <br />8'00 AM <br />Time: 8:30 A <br />Time: <br />8'30 AM <br />- --- -------------- -- <br />❑ Sidewalks <br />