Special Event - Back to School Day - August 15

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rr City of South Bend Special Event Application Neighborhood Event $25 application fee if filed 30 days or greater (up to 180 days) in advance of event. loris 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. Section A - Applicant Information 7/19/2021 Sunnyside Presbyterian Date of Application: _________________ Organization Name: Applicant (Contact) Name: Ericka Ducret -- — — --------------- 574-383-0862 ericka1747@yahoo.com Applicant (Contact) Phone: __ Contact Email: --------------------- 115S Frances St South Bend, IN 46617 Address: ------------------- -----City/State/ZIP:--------------------------- Secondary Contact Name: Contact Phone: Address: Contact Email: City/State/ZIP: Section B - Event Information Back to School Day 150 Event Name: Expected Attendance: Requested Street Closure- Yes Fravie SS— _ - -------------------- From ---------------- From (Cross Street): Jefferson ---------------------------- ------------------------- — --- To (Cross Street)Washington -------------------------------------------------------------- Provide a brief description of the event: Outdoor worship service - Young children will be present since we are 'Blessing Backpacks" for the upcoming school year. We would like to close the street only. No residents on the street that we would like to close. Date of Event Setup [mm/dd/yy]: 8/15/2021 8AM ---Time:-------- Begin Date of Event [mm/dd/yyl: _ 8/15/2021 -------- ------ Time: 8AM—�_ End Date of Event [mm/dd/yyl: 8/15/2021 _ _ Time: 12PM Event Cleanup Completion [mm/dd/yyl: 8/15/2021 Time: 12P< 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: 0 ______________---------____—__—_ Number of households represented by signatures on attached sheet: ----------------------- --- ------ —_ Will this event have music (live or other)? ■ Yes ❑ No