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9�—,,---i ; City of South Bend Special Event Application <br />1\c. <br />City and Regional Event <br />4�, ' $50 application fee if filed 60 days or greater in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional 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: 08/26/21 <br />Applicant (Contact) Name:Amanda Parker <br />Applicant (Contact) Phone: 574-235-5636 <br />Address: 301 S. St. Louis Blvd. <br />Organization Name:City of South Bend VPA <br />Contact Email: aparker@southbendin.gov <br />City/State/ZIP: South Bend, IN 46617 <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: <br />Contact Phone: <br />Address: <br />Event Name: Best. Fireworks. Ever <br />Contact Name: <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Type: (Festival, Race, Parade, Other):Firework DIs[ji <br />Event Classification: 0 Non -Profit' ❑ For -Profit <br />M City (Civic) Sponsored ❑ Other (If Other, please describe): <br />`The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Venues Parks and Arts will hold a rescheduled fireworks display in celebration of Best. <br />Week. Ever. The firework/road closure timeline appears below. <br />Date of Event Setup [mm/dd/yy]: 09/10/2021 <br />Begin Date of Event [mm/dd/yy]: 09/10/2021 <br />End Date of Event [mm/dd/yy]: <br />09/10/2021 <br />Time: 12:00 pm <br />Time: 8.00 pm <br />Time: 9:30 pm <br />/2021 10 <br />Event Cleanup Completion [mm/dd/yy]: 09/10/2021 Time: 12:00 am_ <br />Total anticipated attendance: 2,000 <br />The proposed event will require the closing of: M Streets Sidewalks <br />