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City of South Bend Special Event Application JUN 14 2021 <br />04 <br />e Neighborhood Event <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />18fi5 <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: ___- ZZ 10 1%L-- Organization Name: <br />Applicant (Contact) <br />MMM&M <br />Applicant (Co' n1tact) Phone: (� 5"7 S- (n3 Email:S Contact Email: <br />Address: __ `� 7 S . ?An cL City/State/ZIP: -_ D <br />Secondary Contact Name: <br />Contact Phone: l b -I t ) L 17 - 51 Fh (w Contact Email: <br />Address:_JSP S. 'P�enn�� X i7! —City/State/ZIP: 505, /A/ ��(F' 01, 5 <br />Section B - Event Information <br />Event Name: 51 ��' Expected Attendance: S ( [fSS <br />Requested Street Closure: S� [3 J�_L#sdr c <br />hj�„�icn 1 � —� s <br />From (Cross Street): <br />To (Cross Street): <br />Provide a brief description of <br />U <br />Date of Event Setup [mm/dd/yy]: <br />Begin Date of Event [mm/dd/yy]: <br />End Date of Event [mm/dd/yy]: <br />uj4e-,r S 1AL hour[ t <br />�VI&t d <br />Time: --- a-", -------- <br />Time: <br />Time: <br />------------------- <br />Event Cleanup Completion [mm/dd/yy]: --71 /1�T Time: _ <br />Have all residents on the affected block have been notified and invited? gYes ❑ No <br />Please attach a copy of the door hanger or letter used to notify residents in dit' to signature attachment. <br />Number of households fronting the proposed street closure: ---�- -------------------------- <br />Number of households represented by signatures on attached sheet:y __— --- —______________ <br />Will this event have music (live or other)? gYes ❑ No <br />Gnk,-y 110>` ; <br />