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",, City of South Bend Special Event Application <br />d City and Regional Event <br />rD <br />• ("= Sit ->`a= $50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />' iws ' <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brim Completed 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 the application will not <br />be accepted. <br />Date of Application: 8/15/2023 <br />Applicant (Contact) Name: Tom Whipkey <br />Organization Name: St Joseph County Crop Walk <br />Applicant (Contact) Phone: 574485-9245 Contact Email: twNpkeyftatt.net <br />Address: 1139 MinerSt City/State/ZIP: <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 Name: <br />Contact Email: <br />City/State/ZIP: <br />Event Name: St Joseph County Crop Walk Event Type: (Festival, Race, Parade, Other): Walk <br />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 />Set up begins Saturday morning with marking the routes with sidewalk chalk. Participants begin arriving Sunday at 1 pm. The walk begins <br />at 2pm and concludes no later than 5pm. <br />Date of Event Setup [mm/dd/yy]: 09/24/2023 Time: 7:00 am <br />Begin Date of Event [mm/dd/yy]: 09/24/2023 Time: 1:00 pm <br />End Date of Event [mm/dd/yy]: 09/24/2023 Time: 5:00 pm <br />Event Cleanup Completion [mm/dd/yy]: 09/2412023 Time: <br />40 Total anticipated attendance: 150 <br />The proposed event will require the closing of: ❑ Streets ❑ Sidewalks <br />