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,,, B 4 City of South Bend Special Event Application <br />\c City and Regional Event <br />W <br />�$l PEAfG <br />• t $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 />Please Bring Completed Aoolication 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: 2/7/2024 <br />Applicant (Contact) Name: Fr <br />Section A - Applicant Information <br />Organization <br />Pietrocarlo, CSC <br />St. Adalbert Parish <br />Applicant (Contact) Phone: 574-288-5708 Contact Email: rpietrocarlo@stadalbertschool.org <br />Address: 2505 W. Grace St City/State/ZIP: South Bend, IN 46619 <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: St. Adalbert Parish Contact Name: Juan Ramos <br />Contact Phone: <br />isAddress: <br />• <br />574-288-5708 <br />2505 W. Grace St <br />Event Name : Cinco de Mayo Festival <br />Contact Email: juan@lacasadeamistad.org <br />City/State/ZIP: South Bend, IN 46619 <br />Cell: 574 - 276-6195 <br />Section B - Event Information <br />Event Type: (Festival, Race, Parade, Other): Festival <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 Hof this <br />application. The description should be a summary overview.) <br />Date of Event Setup [mm/dd/yy]: <br />Begin Date of Event [mm/dd/yy]: <br />End Date of Event [mm/dd/yy]: <br />5/04/2024 <br />5/04/2024 <br />5/04/2024 <br />Event Cleanup Completion [mm/dd/yy]: <br />Total anticipated attendance: <br />2000 <br />5/04/2024 <br />Time: <br />B:00am <br />10 nf) ,. <br />Time: <br />Time: 8:00pm <br />Time: 9:00pm <br />The proposed event will require the closing of: ® Streets 0 Sidewalks <br />