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DocuSign Envelope ID: 66460207-F681-4F9A-8C29-F7BB7DOF1A3B <br />City of South Bend Special Event Application <br />Y City and Regional Event <br />y _ $50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />Wks - <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Date of Application: 2$/2021 <br />Section A - Applicant Information <br />------------ Organization Name: March to the Memorial Inc. <br />Applicant (Contact) Name: Bob Lyons <br />Applicant (Contact) Phone: <br />314-452-5717 Contact Email: bobplyons@yahoo.com <br />Address: 52160 Woodsedge Dr. city/state/ZIP: Granger IN 46530 <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 B - Event Information <br />Event Name: March to the Memorial Event Type: (Festival, Race, Parade, Other): Walk ------- <br />Event Classification: ® Non -Profit* ❑ For -Profit <br />❑ City (Civic) Sponsored 0 Other (If Other, please describe): 501 c 3 local business sponsored <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 />On Sat, 9/11/21 starting at 9:1 lam, people will be walking on sidewalks (or grass in a few <br />areas where sidewalks do not exist) through the South Bend metro area from Irleand (near <br />Fellow St.) to St. Joseph County Park's 9/11 memorial. There are several rest stops along <br />the way at fire stations and one at a local realtor's office. <br />Date of Event Setup09/11/21 [mm/dd/yyl� ------------------- <br />Begin Date of Event [mm/dd/yy]: 09/11 /21------- <br />End <br />_-_ <br />End Date of Event [mm/dd/yy]: 09/11/21 --- <br />Event Cleanup Completion [mm/dd/yy]: 09/11 /21 <br />Total anticipated attendance: 50 <br />Time:8:15am Yv` <br />Time: 9_11 am -_ <br />Time: 6:45pm <br />Time: 7:00pm <br />The proposed event will require the closing of: ❑ Streets ❑ Sidewalks <br />