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• <br />P <br />b' <br />„ Tx City of South Bend Special Event Application <br />y <br />Neighborhood Event <br />s„ )z <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />Please Brine Completed Application and Payment to: <br />Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN <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 not <br />be accented. <br />Section A - Applicant Information <br />Date of Application: April 25, 2023 Organization Name: St. Joseph Grade School and Parish <br />Applicant (Contact) Name: Karey Circosta <br />Applicant(Contact)Phone: 574-298-1171 Contact Email: kcircostagnd.edu <br />Address: 216 N. Hill Street City/State/ZIP: South Bend, IN 46617 <br />Secondary Contact Name: Nic Circosta <br />Contact Phone: 574-234-3134 Contact Email: ncircosta@stioenarish.com <br />Address: 216 N. Hill St City/State/ZIP: South Bend, IN 46617 <br />Section B - Event Information <br />Event Name: St. Toe Grade School Field Day Expected Attendance: 400 <br />Requested Street Closure: St. Louis Street <br />From (Cross Street): LaSalle Street <br />To (Cross Street): Colfax Ave <br />Provide a brief description of the event: <br />We are having our annual Field Day and want to close St. Louis Street behind our parish and school so we <br />can use that area for activities and to make sure kids can run to all the stations safely. <br />Date of Event Setup [mm/dd/yy]: 6/5/23 Time: 6:30am <br />Begin Date of Event [mm/dd/yy]: 6/5/23 Time: B:OOam <br />End Date of Event [mm/dd/yy]: 6/5/23 Time: 2:301m <br />Event Cleanup Completion[mm/dd/yy]: 6/5/23 Time: 3:OO12m <br />Have all residents on the affected block have been notified and invited? ❑ Yes ® No <br />Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. <br />Number of households fronting the proposed street closure: <br />Number of households represented by signatures on attached sheet: <br />Will this event have music (live or other)? ® Yes ❑ No <br />