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City of South Bend Special Event Application <br />lwk <br />I 6-/ Neighborhood Event ar <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: <br />June 23,2021 Organization Name: Housing Authority South Bend <br />______—__— ------------- —_ <br />Applicant (Contact) Name:Michael - Williams <br />574-387-1152 mwilliams@sbhaonline.com <br />Applicant (Contact) Phone: 574-387-11152 Contact Contact Email: <br />1831 NFremont St. South -Bend -IN 46628 <br />Address:----------- ---------------------City/State/ZIP:------- -- <br />Secondary Contact Name: <br />Jaqueline Williams <br />----------------------------------------------------------------------- <br />Contact Phone: 574-387-0194 Contact Email: jwilliams@sbhaonline.com <br />---------------- ---- ----- ----- <br />501 -Alonzo <br />Address: ---------- Watson Dr. <br />Watson <br />City/State/ZIP:South---------Bend--------IN----46601 -- <br />Section B - Event Information <br />Job Fair/Community Party 150-500 <br />Event Name: ___________— Expected Attendance: <br />Requested Street Closure: Fremont St_ — — — <br />From (Cross Street):Marquette -------------------------------------------------------------------- <br />Hamilton <br />To (Cross Street): <br />----------------------------------------------- <br />Provide a brief description of the event: <br />It will be bouncy houses, music, food and social activities <br />Date of Event setup [mm/dd/yy]: July 15, 2021 1000 am. <br />- --------- Time: ------------- <br />Begin Date of Event [mm/dd/yy]: July 15, 2021 - 12:00 -- am --------- Time: -------- <br />------------------------ <br />End Date of Event [mm/dd/yy]: July15, 2021 Time: 6:00 -pm. -- - <br />- - ------------------ <br />Event Cleanup Completion [mm/dd/yy]: July 15, 2021 <br />Time: 9:00 --�----------------------------------- — <br />Have all residents on the affected block have been notified and invited? 0 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: 4____________________________________________ <br />Number of households represented by signatures on attached sheet:4 <br />Will this event have music (live or other)? M Yes ❑ No <br />