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Ll <br />1L J <br />11 <br />City of South Bend Special Event Application <br />Motorcycle Ride <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: g 3 Z - Jcx.s <br />Organization Name/QHj4kiCk)a _%�� I0� <br />Applicant (Contact) Name:l>- r3 d._v_'i __q___�Ay�7 �_�Z______________ <br />Applicant (Contact) Phone: ^_ S� �/ _ �J O_�S�Contact Email:-," <br />Address:_( 0E_1p�.(� ______ City/State/ZIP:_t2Zsi.w.kl� <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 />Contact Name: <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name Wit___ - L Dr'___ Event Type: Motorcycle <br />Event Classification: Er 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/yy]:,tzA __j5 10 3Time: '�LI Qi ________________________ <br />Begin Date of Event [mm/dd/yy]��y_�O Time: <br />End Date of Event [mm/dd/yy]: _1%u1�1E_ .207.E Time: <br />Event Cleanup Completion [mm/dd/yy]:______________________ Time: <br />Total anticipated attendance: A_______________ <br />The proposed event will require the closing of: JX Streets ❑ Sidewalks <br />