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City of South Bend Special Event Application <br />Neighborhood Event <br />+' 825 application fee if filed 45 days or greater (up to 180 days) in advance of event <br />$50 expedited application fee if filed 1444 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 14 days in advance of the event date or the application will not <br />be accepted. <br />A q Section A - Applicant Information <br />Date of Application: MAY $ 4 2021 ________ Organization Name: <br />Applicant (Contact) Name:_ U I f 4 e bN eon/ e✓ <br />Li <br />Applicant (Contact) Phone:_ SDOCD c Contact Email: l.t Vd Cl IT) V) w Came ast, n e t <br />Address: �00-11��Cl+l1s' S� _ City/State/ZIP: D LAh Ek k 1CI I 'o(C 15 <br />Secondary Contact me: i I f'11olli h 1NPca✓e l� I_ !� <br />ContactP-hfonne C'�l cam____ Contact Email: C✓ WL00-VeKeSCi �IJeCMC aSf.ne� <br />Address) 1 lylk+V'1�>�____________ City/State/ZIP: ��l.L %t —I'1—[T—/ �1�L'�'IS- <br />------------ <br />Section <br />' ] S <br />Section B - Event Information <br />Event Name: La CYI Lle1T10Y Y YTl <br />Requested Street Closure:_C—,Lh- -1��-Wt <br />From (Cross Street): L\hUY1P &reef <br />To (Cross Street): <br />Expected Attendance: J t-'_��i P e C'�I �- <br />Provide a brief description of the event: <br />CjV-0Cit.tc%f10Y) Pt31—i-Li -fiolr 3te-rro t -Dec -Mer <br />Date of Event Setup [mm/dd/yy]: LC I ] Cf I' I---- <br />Time: I D, ory-) <br />Begin Date of Event [mm/dd/yy]: __LC I l CI -1 AL -------- <br />Time: _____�.pfr11_______ ^_ <br />End Date of Event [mm/dd/yy]: -ILI q � L____ <br />Time: PO') <br />Event Cleanup Completion [mm/dd/yy]: _�II <br />1� �] [ Jl1 <br />1 ^, <br />Time: <br />` <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: --- '-L. <br />Number of households represented by signatures on attached sheet. <br />Will this event have music (live or other)? 0 yes ❑ No <br />