Special Event - Living Stations of the Cross - March 29

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.rH Rf City of South Bend Special Event Application • Neighborhood Event $25 application fee if filed 30 days or greater (up to 180 days) in advance of event. Please Brina Completed Aoolication 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. Section A - Applicant Information Date of Application: ALL IS862ug Organization Name: ! liA Applicant (Contact) Name:/f &54 Applicant (Contact) Phone: �i `�, Contact Email: i�A/Q1p�phthl b. Am Address: ,,jl14). I)I �_ 54. City/State/ZIP: �p� j1 !>Q /A Secondary Contact Name: �tRJ V�1�Q�M1 n r 1/ j Contact Phone: \57y) .99 1' ) [ UD Contact Email 10 I&JOIA&M f7 t Address: -7 9 1 W. tulVtr�Sl. City/State/ZIP: f a � �� !!3 t3 • I� C Section B - Event Information //''�� Event Name: jVIiIA SfCI&Aal��S Expected Attendance: ISV'aoo Requested Street Closure: From (Cross Street): To (Cross Street): Provide a brief description of the event: I /� 4Zaaac4x944 �4-he �� S %tv�S +fU LrDsS o fZSul lnbu✓ r ,cghbVAVL7dl Su,4Y-dak_^C110 Dt,(vLtcc({ tk Cud ,r1 -I ae Q'XM\lt I loge tit q ba>rtc,�00( ( � Date of Event Setup [mm/dd/yy]: _4 A101 A1670 7r' Time: 1jam Begin Date of Event [mm/dd/yy]: NADPth 9 28114 Time: gpm End Date of Event [mm/dd/yy]: elgrp2p2q /Time: to, , 'f A �UrJn1 Event Cleanup Completion [mm/dd/yy]: 1 1( ' L4 rtNf7Time: T OI d Have all residents on the affected block have been notified and invited? ❑ Yes ® No Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. • Number of households fronting the proposed street closure: Number of households represented by signatures on attached sheet: Will this event have music (live or other)? ❑ Yes ❑ No