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City of South Bend Special Event Application <br />Neighborhood Event <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />Review the Instructions on the Special Events page before completing the application. Neighborhood 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: 04/07/21 Family Reunion <br />PP _Organization Name: <br />Applicant (Contact) Name:_Leonarda Alcantara Hernandez <br />- -------------------------------------- <br />Applicant (Contact) Phone: (574) 514-0779 contact Email: alcantaraleonarda@gmail.com <br />Address: City/State/ZIP: <br />430 S Phillipa St. South Bend IN 46619 <br />_ Rigoberto Lopez Mejia - — _ <br />— — <br />Secondary Contact Name: _ _ <br />Contact Phone: (575) 312-4850 -- - --f Contact Email: 70rigolopez@gmail.com <br />City/State/ZIP: <br />Address: <br />430 S Phillipa St, South Bend IN 46619 —� <br />-___- --------------------------- <br />Event Name: Birthday Party <br />--------------- <br />Section B - Event Information <br />Expected Attendance: 12 Kids 10 Parents <br />Requested Street Closure:S Phillipa St. <br />From (Cross Street): Western <br />r <br />To (Cross Street): <br />Huron <br />_ <br />Provide a brief description of the event: <br />want the street closed because the cars pass really fast here and there will be kids and I <br />want to do it inside and out. (Birthday Party.) <br />Date of Event Setup [mm/dd/yy]:05/15/21 <br />---------- <br />Begin Date of Event [mm/dd/yyj: 05/15/21_______4 <br />End Date of Event [mm/dd/y,,. 05/15/21_ _Y <br />Event Cleanup Completion [mm/dd/yyl: 05/16/21 <br />Time: 3:00-8:00 <br />Time: 4:00 <br />Time: 9:00 <br />Time: 12:30 <br />Have all residents on the affected block have been notified and invited? ® Yes ❑ No <br />Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. <br />Number of households fronting the proposed street closure: 19 houses <br />Number of households represented by signatures on attached sheet: 19 ' <br />Will this event have music (live or other)? 0 Yes ® No <br />