Special Event - Weaver Annual Block Party-July 31

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4 City of South Bend Special Event Application Neighborhood Event j $25 application fee if filed 45 days or greater (up to 180 days) in advance of event $50 expedited application fee if filed 14-44 days in advance of event Review the Instructions on the Special Events page before completing the application. Neighborhood Special Event applications must be submitted more than 14 days in advance of the event date or the application will not be accepted. Section A - Applicant Information Date of Application:I — ------------ Organization Name:. Applicant (Contact) M Applicant (Contact) Phone: _ -yC1y�y�rl ontact Email: n Address 1 q0I w&" n e-aree-�City/State/ZIP:—WU_i }� ryi `4. (LCp1 S Secondary Contact Name:y1 �—_____________ —_— — ---_ -- — Contact Phone: Contact Email: Address: ------ — --------------------------- — City/State/ZIP: Section B - Event Information Event Name : / `!) A' f !(K7 -- _ Expected Attendance: _____________—_— Requested Street Closure:—_—e___ firee�- -- ------------------------------------------- From (Cross To (Cross Sti Provide a brief description oft event: ,IocK fb, tDv- re -,00d Com �es Z 4h i Id re r� /Pot l [,LC,K -(bcd �o � Date of Event Setup [mm/dd/yy]: I I � -)--I _— _ Time: — I W ry--,-______ — — -- Begin Date of Event [mm/dd/yy]: _rl End Date of Event [mm/dd/yy]: —11 Event Cleanup Completion [mm/dd/yy]: _ I Time: _ 2-prY) Time: —_ 8VY1 Time: Have all residents on the affected block have been notified and invited? les ❑ No Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. Number of households fronting the proposed street closure: _—re _ I_________ Number of households represented by signatures on attached sheet: _—_ __--_--- ---- —___ Will this event have music (live or other)? E Yes ❑ No