Laserfiche WebLink
• <br />0 <br />xTt 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 />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 />Date of Application: 05/15/23 <br />Section A - Applicant Information <br />Organization Name: Hermitage Estates South HOA <br />Applicant (Contact) Name: Drew Lister, VP of Hermitage Estates South HOA <br />Applicant (Contact) Phone: 574-360-6197 Contact Email: drew.lister@gmail.com <br />Address: 713 Finch Dr City/State/ZIP: South Bend, IN 46614 <br />Secondary Contact Name: Jennifer McGuire <br />Contact Phone: 574-302-1233 <br />Email: Jennifer.claire.kinney@gmail.com <br />Address: 5317 Larkspur Dr City/State/ZIP: South Bend, IN 46614 <br />Section B - Event Information <br />Event Name: Hermitage Estates South Block Party Expected Attendance: 75 <br />Requested Street Closure: Larkspur Drive <br />From (Cross Street): Finch Drive <br />To (Cross Street): Wheatly Drive <br />Provide a brief description of the event: <br />This event is a neighborhood block party to get to know our neighbors better. We will bring <br />lawn chairs, drinks, and desserts to share with each other. The event will take place from <br />5:00 - 8:00 pm on Saturday, June 17. <br />Date of Event Setup[mm/dd/yy]: 06/17/2023 Time: 4pm ET <br />Begin Date of Event [mm/dd/yy]: 06/17/2023 Time: 5pm ET <br />End Date of Event [mm/dd/yy]: 06/17/2023 <br />Time: 8pm ET <br />Event Cleanup Completion[mm/dd/yy]: 06/17/2023 Time: 9pm ET <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 <br />Will this event have music (live or other)? 0 Yes 0 No <br />6 (one person not home, but notified) <br />