Laserfiche WebLink
H All City of South Bend Special Event Application <br />Neighborhood Event <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />....1`0.9 <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 />Date of Application: _V <br />Applicant (Contact) Name. <br />Applicant (Contact) Phone <br />Address: —j -20—V -JI <br />Secondary Contact Name: <br />Contact Phone <br />Address: <br />Section A - Applicant Information C �� <br />___— Organization Name: <br />City/State/ZIP: Sb �_f1r1£"e__�__� <br />Contact Email A2,1 -amsA <br />------------------- City/State/ZIP:------------------- <br />Event Name <br />Requested S1 <br />From (Cross <br />To (Cross Str <br />Section B -Event Information <br />Expect Attendance: _ <br />Provide a brief description of the event: <br />Date of Event Setup [mm/dd/yy]:= deo Zl <br />Time: -4 <br />Begin Date of Event [mm/dd/yy]: ���Z1 <br />/ <br />Time: r7DN) —_--- — <br />End Date of Event [mm/dd/yyl:—Q6=1=2-( <br />Time: 7i <br />Event Cleanup Completion [mm/dd/yy]: _�Cdl Z� —__ <br />Time: —_ 16"i > <br />Have all residents on the affected block have been notified and invited? jYes ❑ 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: <br />Number of households represented by signatures on attached sheet: <br />Will this event have music (live or other)? 4 Yes ❑ No <br />