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City of South Bend Special Event Application AUG 0 3 2023 <br />04 <br />d City and Regional Event <br />wV� <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 />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 the application will not <br />be accepted. <br />Section A - Applicant <br />�nInformation <br />Date of Application: _�LAL—aj___aQ yOrganization Nam G <br />Applicant (Contact) Name: ... Sb e&-0-n—fkn&r'5Q✓'------------ — ---------- <br />Applicant (Contact) -U —i�-- <br />Phone: Jr�%___ContactEmail:«Jen�mc,£C.11Cf'd,lrl.uS <br />Address: 1Roa 5 � b W S _—_--_ City/State/ZIP: ! ._A n� _ (aJ — <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: 1 _[gyp__ Contact Name: <br />Contact Phone: <br />Address: <br />Contact Email: <br />City/State/ZIP: <br />• Section B - Event Information /� _ <br />Event Name :40—rne-car11_ri�___e.6 ^��_.__ Event Type: (Festival, Race, Parade, Other): ar_46CY Event Classification: Non -Profit' ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): ---- ------ —_____--_____ <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 />Date of Event Setup [mm/dd/yy): ___a <br />Begin Date of Event [mm/dd/yy): O_a//Q--_—�__ Time: ____ —���_� tL_—_--__—_--- <br />1C-�—— <br />End Date of Event [mm/dd/yy]: _ _ �cTime: --fir __ --------------- —___ <br />• Event Cleanup Completion [mm/dd/yy]: S[ LP --__ Time: <br />Total anticipated attendance: <br />The proposed event will require the closing of: ,4 Streets ❑Sidewalks Ia M <br />