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B City of South Bend Special Event Application JUL s) <br />Neighborhood Event <br />,la <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: CJv i Organizattion/Name: b/Q�g <br />Applicant (Contact) Name: / ° f 41 `/G 01 <br />Applicant (Contact) Phone: Contact Email: <br />Address:�116`�/Q �� City/State/ZIP: <br />Secondar <br />Contact I <br />Address: <br />^ee --,f� ,'/ r� <br />Event Name : �FY�v��� �� prI/ Expected Attendance: _tet <br />Requested Street Closure: U II �I-Vy #/ !J <br />From (Cross Street): I4,,�1/' AeO/f/ 9` /V <br />c <br />To (Cross Street): 1/f/�S ri�6� <br />Provide a brief description of the event: <br />Date of Event Setup tmm/dd/yy]: _ 1 Time: <br />Begin Date of Event [mm/dd/yy]: Time: <br />d/yyl: <br />End Date of Event [mm/d—�� — Time: � ----- — <br />Event Cleanup Completion [mm/dd/wl:_**W—Time:_Tj <br />Have all residents on the affected block have been notified and invited? ❑ Yes ONo <br />Please attach a cony of the door hanger or letter used to notify residents in addition to signature attachment. <br />Number of households fronting the proposed street closure: — to) <br />N imfiPr of hru isehnlds renresen <br />Will terl by sienat Vires nn attached sheet: <br />Y - <br />I{ this event have music (live or other)? ❑ Yes P(Nn <br />I <br />