Laserfiche WebLink
• <br />• <br />City of South Bend Special Event Application <br />o� <br />o: City and Regional Event <br />Ord $50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />1865 <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 Information <br />Date of Application: 2 i $ 11 <br />PP �l2� 4 Wiz________ Organization Name:696APHl314f ___----- __ <br />Applicant (Contact) Name:____JQ#A_ M. ----------- _ <br />Applicant (Contact) Phone: ___ G7v-)-__}9 T_ IoOS Contact Email: /. �pµ' <br />—-ciab�isye GJ4" <br />Address: _713_ E. tTCEGCZtSD%J 4�✓4 City/State/ZIP: SOJroF 3C�vd� �v •f (�e r y <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: STt�oc 89H _ � �Contact Name: KuRI< PH iat tatorU <br />Contact Phone: ?'i)_8 -7b _ 7.2` O _ Contact Email: <br />Address: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name: _ G¢/Z _ CRtf;�E _inIEvent Type: (Festival, Race, Parade, ther ________ <br />Event Classification: El Non -Profit* ❑ For -Profit <br />❑ City (Civic) Sponsored L]d Other (If Other, please describe): _� Tij Q�rgrcl2 D✓1�rle ����_ <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 />Cq*&.sNO(m T-2o#" t-7�uoonu — 5:00 P," <br />U711�-Mo7.0a4 jSRgV46VS P&fgAej C. LO"r C- �STS,oc) <br />CLotiNG oFj- S • S'7:Lou*S %3L.J� F/LOM �'Ery=aron� R<J.Q — IaJAS�liN6TOn/ ST. <br />Date of Event Setup [mm/dd/yy]: __ 041 A4 jaQ z 3L__ Time: 1AN oon/ <br />Begin Date of Event [mm/dd/yy]: ___O4_gt:tl_.93 _____ Time: ----- _--- o0 PM_ <br />End Date of Event [mm/dd/yy]: _ 011 9-gy 1_ 23 Time: 6" 00 P 7,L <br />Event Cleanup Completion [mm/dd/yy]: _01/3'[-1 MA Time: S : 30 P „* <br />Total anticipated attendance: <br />The proposed event will require the closing of: Street ❑ Sidewalks <br />