Special Event - Tim’s 60th. Birthday - August 21

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City of South Bend Special Event Application Neighborhood Event �9\ a cc t- � $25 application fee if filed 30 days or greater (up to 180 days) in advance of event. �iyus/ Review the Instructions on the Special Events page before completing the application. Neighborhood Special Event applications must be submitted more than 30 days in advance of the event date or the application will not be accepted. Date of Application: 06/9/21 Section A - Applicant Information Organization Name: Tim's __ 60th Birthday Applicant (Contact) Name:Leticia Morris __ Applicant (Contact) Phone: 08126698 — Address: 812 golden ave Contact Email: lettimo.22@gmaii.com -- -------------------__---- south bend, IN 46616 City/State/ZIP:------------- ---- ----__---. Secondary Contact Name: Jesse --------S Morris ----------------------------------------------- Contact Phone: 5744405263 Contact Email: jesssanchez266@gmail.com Address:812 golden ave City/State/ZIP:south bend, IN 46616 _____ --------------------------- -- Section B - Event Information Tim's 60th birthday 50 Event Name: —___--_ —_—_____—____ Expected Attendance: __�__ Requested Street Closure:812 Golden Ave From (Cross Street):y aIle next to 812 Golden to Riverside , To (Cross Street):Riverside Provide a brief description of the event: 60th Birthday Date of Event Setup [mm/dd/yy]: 08/21/21 _ Begin Date of Event [mm/dd/yy]: 08/21/21 End Date of Event [mm/dd/yy]: 08/21/21 Event Cleanup Completion [mm/dd/yy]: 08/21/21 Time: 12:00 Time: 3:00 Time: 10:00 Time: 10:00 Have all residents on the affected block have been notified and invited? ® Yes ❑ 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: Number of households represented by signatures on attached sheet: Will this event have music (live or other)? 0 Yes N No