Special Event - E. Colfax Ave. Block Party - September 10

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• • • E, City of South Bend Special Event Application Neighborhood Event J _ l $25 application tee if filed 30 days or greater (up to 180 days) in advance of event. Please Brine Completed Application and Payment to: Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN Review the Instructions on the Special Events page before completing the application Neighborhood Special Event applications must be submitted more than 30 days in advance of the event date or the application will not be accepted. Date of Application: 710 2-O Z3 Organization Name: Applicant(Contact)Name: 1+-'(\o&k Q" Applicant (Contact) Phone: (S7 4) 22-0 "23 2 FcOntaCt Email: GMCL G4v� Address: I �'Z 7 E (0 62-u, Arc, City/State/ZIP: &CIO , T4Q `i 6 1 7 Secondary Contact Name: (kb � rt,v\ l✓xet Contact Phone: L7 4) 24 Z - Z 79 Z Contact Email: Address: I b 15- E CoI4?c Av-C City/State/ZIP: Sc,� 6, -J6 T-t-% j L 6 1 Z M MM 'i _ •i Event Name: 6(0(_k Expected Attendance: �50 - 7 5-- Requested Street Closurel. Co I f� fivT- From (Cross Street): 1 w� gl3til�a To (Cross Street): Provide a brief description of the event: C iCv_� geav9 4r j4e_}- -6 ILA� O&C 61,6t$'Q1t . -6, q s ker-r- fbcc9 C'rj Date of Event Setup [mm/dd/Wl: 1/I �� Z-D Z Time: 3/ /Y�' Begin Date of Event [mm/dd/yy]: ggZ1 D I Z6 Z 3 Time: 7 D P-A End Date of Event [mm/dd/yy]: I I 10 /Zy 2 3 Time: 7 D M Event Cleanup Completion [mm/dd/yy]: 1�U�Zu 2 7iI Zi Time: �r"_ Have all residents on the affected block have been notified and invited? [y res ❑ No Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. Number of households frontingthe proposed street closure: Number of households represented by signatures on attached sheet:3 Will this event have music (live or other)? 0 Yes C3 No