Special Event - Clark Block Party - August 21

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Section C - Alcohol Will alcohol be served or sold? ❑ Yes U-40 If Yes: o The applicant must apply for and receive a temporary liquor license from the Alcohol & Tobacco Commission. o Application cannot be processed without a copy of this license. o A refundable $400.00 deposit paid by card or check (made to City of South Bend) must be submitted with application. o Application cannot be processed without deposit. o Deposit will be returned upon inspection of event area by the Board of Public Works. o The applicant must submit a map or drawing of: o Fencing around serving area o Trash receptacles o Events that will have alcohol sales must provide security. If your event will be hiring a security company, please provide its contact information in sub -section (a) below. Otherwise, please list the names, phone numbers, and qualifications (e.g. Off-duty police officer, professional security guard, or event applicant) of three (3) security guards in the fields provided in sub -section (b). (a) Security Company Information Company Name: .... — ............... —.... Contact Name: Contact Phone: ---_--------------------------_—_-- Email: ___—- City/State/ZIP: (b) Independent Security Information Name: Contact Phone: Name: ------- ----- —--- —-------- —_ —_-- ---- Contact Phone: Qualifications: Name: --_--__--_—_—_ —__—_ Contact Phone: Qualifications: