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City of South Bend Special Event Application <br />• City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brim Comoleted 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. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or.toe application will not <br />be accepted. <br />Date of Application: <br />Applicant (Contact) <br />5/17/23 <br />Jamila Thomas <br />u•,u.. ,. <br />Organization Name: Conscious Michiana, Inc. <br />Applicant (Contact) Phone: 574-339-3743 Contact Email: ]amila@consciousmichiana.com <br />Address: 2626 IN-39 #4 <br />City/State/ZIP: Laporte IN 46350 <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 <br />Contact <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name: Mind Body Spirit Solstice Festival Event Type: (Festival, Race, Parade, <br />Event Classification: ® Non -Profit' ❑ For -Profit <br />Festival <br />❑ City (Civic) Sponsored ® Other (If Other, please describe): Sponsored by Conscious Michiana, Inc. <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 />make announcements from the pavillion. <br />Date of Event Setup [mm/dd/yy]: 6/24/2023 Time: 8.30am <br />Begin Date of Event [mm/dd/yy]: 6/24/2023 <br />End Date of Event [mm/dd/yy]: 6/24/2023 <br />Event Cleanup Completion [mm/dd/W): 6/24/2023 <br />Total anticipated attendance: 750 - 1,000 <br />11:00am <br />Time: 7:00pm <br />Time: 9:00pm <br />0 <br />The proposed event will require the closing of. ®Streets ❑Sidewalks <br />