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MAY 3 0 2023 <br />L� <br />40 <br />r1 <br />L_J <br />oE�pOed City of South Bend Special Event Application <br />,s Neighborhood Event <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <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 accepted. <br />Section A - Applicant Information <br />May 15 2023 Our Lady of Hungary <br />Date of Application:15, 2023 Organization Name: __________—________________ <br />Applicant (Contact) Name:Denise --------M- -Domonkos -------- ------------------------------------ ---------- <br />574-255-1906 ddomonkos@sbcsc.kl2.in.us <br />Applicant (Contact) Phone: ___ Contact Email: ___—_____—_________—____—___ <br />Address:731 ------City/State/ZIP:West Calvert South Bend, IN 46613 <br />----- ---------------- ---------------------------------- <br />Secondary Contact Name: -Karen---------Carrizosa ----------------------- —-------- —----------------- — <br />Contact Phone: 574-287-1700_ _ _ Contact Email: _ <br />Address: 731 West Calvert - --- - City/state/ZIP: South -Bend, -IN-46613 <br />Section B - Event Information <br />Event Name: Expected Attendance: <br />Our Lady of Hungary Parish Festival 400 <br />_____________ ----- <br />Requested Street <br />From (Cross Stree <br />,..,,..Chapin <br />To (Cross Street): Bruce <br />4 <br />Provide a brief description of the event: <br />Hungarian and Mexican food, childrens games and a DJ <br />Date of Event Setup [mm/dd/yy]: July 15, 2023 <br />- ---------- Time: ------------- <br />Begin Date of Event [mm/dd/yy]: July 15, 2023 4.00 PM <br />- ---------Time: ------- ------- <br />End Date of Event [mm/dd/yy]: Julyl5, 2023 Time: 9.00 PM <br />Event Cleanup Completion [mm/dd/yy]: July 15, 2023 — Time: 11.00 PM <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: 0--- <br />—----------------- <br />-- -------- <br />— ------- <br />. <br />Number of households represented by signatures on attached sheet: 0-------------------------------- <br />—--- <br />. <br />Will this event have music (live or other)? 0 Yes 0 No <br />