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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 />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 onr <br />be accepted <br />Section A - Applicant Information x l <br />Date of Application: —� pa C A �n�111t <br />—�+ Organization Name: TU ��-L•� <br />Applicant (Contact) Name: I � �. 7�1. ., n r r_ t <br />Applicant (Contact) Phone: QI'7 3 q 3 14 6t S 0 <br />Contact Email: 14 --ha, P n so' m r Nto 1L1.C)/Vt <br />Address: ��Sq�n� <br />—�--�.Si�City/StatelZlP./ <br />Secondary Contact Nance W <br />Contact Phone: <br />Contact Email• _ <br />Address: <br />--------- City/State/ZIP. <br />oQ ' I SeWon B - Event Irlformatimt <br />Event Name: &Q (j �%ty- /L-� f '� ,. / �,p�f,�i- C f1.NYCl� PY0.1 J�j Pac+-.�i/ <br />�'--`—`�°�---- Expected Attendance: i <br />Requested Street Clowre;—LeOL�g.__—Q <br />lklotvu �DL_�)LLe L(•M l! <br />From (Cross Street); - fwfll C" <br />To (Cross Street): <br />Provide a brief description of the event, <br />s t rub b l "^-kcol 04 i n. 4c1✓l-} � N i t t GcS <br />far t 4- n hers 1 . Tl �a �e 0 i t bye, tran the � I �� a <br />��), �'Allcet-1�'F- rn ver purrs (o r. n1CI'li3�ytiJ,�( S e�vn I <br />C�Mk.kN% u,i+ ltr?-Tal" cht ��k . � � +V,% <br />Date of Event Sett <br />[mm/dd/yy]: - 'I — 1 1 -a' <br />Begin Date of Event [mm/dd/ <br />YYI: Time; <br />End Date of Event [mm/dd/yy]: -- l �L <br />Time: <br />Event Cleanup Completion Imm/dd/ t - — <br />ril: ��—_ Time: --Aected block have been notified and invited? y 01A <br />Have all residents on the aff <br />Please attach a copy of the door hanger or letter used to notify residents inaddition ❑to No <br />attachment. <br />Number of households fronting the proposed street closure: <br />if households represented by signatures on attached sheet:_ ,I,j�,Q <br />event have music (live or other)? yes 110a � <br />— 0� <br />❑ No 3t pt.— <br />