Laserfiche WebLink
City of South Bend Special Event Application <br />jG 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 />Date of Application: <br />Applicant (Contact) Na <br />.-?— /— 02 / <br />Section A - Applicant Information <br />Organization Name: - �a.� � za <br />Applicant (Contact) Phone:__� %-� -3 _faontact Email: <br />Address: Ac2'C�k � ---- City/State/ZIP: . ...... <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: <br />Contact Phone: <br />Address: <br />Contact Name: <br />Contact Email- <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name�!�,_ Event Type: (Festival, Race, ParadOt�ierj (? <br />Event Classification: M Non -Profit* ❑ For -Profit <br />n <br />❑ City (Civic) Sponsored U,10ther (If Other, please describe):. <br />G rx 'Z <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 pla�isr ired in Section H of this <br />application, The description should be a summary overview.) � l ,�? �1 [mac � c _ Z'e �St <br />LGGr2.4 _'�U7 a '�tee Z"""V .q / � C rf rr✓ <br />Date of Event Setup [mm/dd/yy]: 4��/" Time: <br />Begin Date of Event [mm/dd/yy]: LFA _ Time: <br />End Date of Event [mm/dd/yy]: 674 -__--Time: <br />Event Cleanup Completion [mm/dd/yy]: V __ Time: <br />Total anticipated attendance: <br />The proposed event will require the closing of: ❑ Streets ❑ Sidewalks <br />