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City of South Bend Special Event Application <br />i City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />\ rWiS <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 />}�/ / Section A - Applicant Information <br />Date of Application: "L%o Y�_1 Organization <br />Applicant (Contact)Nam(e:_(_— 0.Vi J>( —---------` <br />6 - 3 ---- <br />Applicant (Contact) Phone: G 3o - I,a—___-- ____ Contact Email: G1ctrK rr� 3 �A- & -/GlAiK, 6� <br />Address: 3 f >3_—� ?^'"` __�__—__ City/State/ZIP:_ 6 A &. (, _.Z / q6 6/�{ — <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: 1 K t'e % SWEvent Type: (Festival, Race, Parade, Other):_k�G=___— <br />Event Classification: 5Non-Profit' ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): ?GnAGv—SC4wl <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 plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Date of Event Setup [mm/dd/yyj: 10 f <br />Begin Date of Event [mm/dd/yyl: <br />End Date of Event [mm/dd/yyj: t UVL 1 <br />Event Cleanup Completion [mm/dd/yyj: f <br />Total anticipated attendance: —� - 7i <br />�( Time: <br />Time: Q 3Ua. f f�•TM ----- <br />Time: L:COa f it>eaSdrt+ti <br />Time: il: $O /?Gt,L c.a+1pCCy� <br />The proposed event will require the closing of: ErStreets 11 Sidewalks <br />