Laserfiche WebLink
City of South Bend Special Event Application <br />City and Regional Event <br />.4 <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 3t}59 days in advance of event <br />Please Brine Comoleted 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 />2 Section A - Applicant Information y // <br />Date of Application: v� Organization Name: E DD�I S 7 CA'1''1ii' UZ /(�� 1 e <br />Applicant (Contact) Name: �Owj ;S A 2McNeil <br />ccNeil <br />Applicant (Contact) Phone: 311- l i 7' _T T I :! Contact Email: r iWrNP [ 14) W�_COM <br />Address:.70S.Wriflltar] �)�t;ICI City/State/ZIP: InD� I-LSD-.I&I 4(Z LJ4 <br />sl a 1100 <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: 11 ``�=_ Contact Name: <br />Contact Phone:72T ^ RQ7- 441d'l" Contact Email: <br />• Address: IO*2 V-ir a.Shtold 11(f City/State/ZIP: MarS�P%� <br />////���� Section B - Event Information /, `. , <br />Event Name: &FT-_ t *C)drs Event Type: (Festival,Race, Parade, Other):�,I EA20Vv <br />Event Classification: L!f 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]: T 20 24 Time: W LAf 1 1 — (31 Ct�WI <br />Begin Date of Event [mm/dd/yy]: 7' 2D ' IL-4 Time: �m - I Z • �111 PM <br />End Date of Event [mm/dd/yy]: �" --f0 - 24 Time: 11 —f— <br />Event Cleanup Completion [mm/dd/yy]: T' 20' 24 Time: I • 00 12M <br />Total anticipated attendance: (goo <br />• The proposed event will require the closing of, Q Streets 0 Sidewalks <br />