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02/20/2023 <br />City of South Bend Special Event Application <br />Motorcycle Ride <br />r R <br />`=- $50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional <br />Motorcycle Event applications must be submitted more than 60 days In advance of the event date or the <br />application will not be accepted. <br />Section A - Applicant Information <br />Date of Application:__%�% -- Organization Name: ri7E�AG�QiDiaNa <br />Applicant (Contact) Name: C.J2lkne l — <br />Applicant (Contact) Phone: _.J 7r/_2oR-,,2 Y 99—_— Contact Email: w_X)tlyCLAu�e�S °r' 7 7 <br />Address:— 1._yy.-8µ l --_ City/State/ZIP:—/;/"a <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 evert. <br />Organization Name: <br />Contact Phone: <br />Address: <br />Contact Name: <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name: �e.] Cx N � ��2, - Event Type: Motorcycle <br />Event Classification: T Non -Profit' ❑ For -Profit <br />❑ 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 />Date of Event Setup [mm/dd/ri]: _�� Time:-_-_�i✓1---__-_-_ <br />Begin Date of Event [mm/dd/yy]: ��Vz 20,23 -Time: <br />End Date of Event [mm/dd/ri]: Q� /%/ 7 C�.23 Time: __- f Z__---_------ <br />Event Cleanup Completion [mm/dd/yy]: Oz3-Time:___---- <br />Total anticipated attendance: --_y,, <br />The proposed event will require the closing of: ❑ Streets ❑ Sidewalks <br />Scanned with CamScanner <br />