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8., City of South Bend Special Event Application <br />�oF mod! <br />2` City and Regional Event <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 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 />1 �Section A - Applicant Information <br />Date of Application: 7 /L) - Lj� Organization Name:;' <br />Applicant (Contact) Name:_- f /!////1i //! / lJi <br />Applicant (Contact/) `Phon1e: `�' '�I� y ' 3 7�3 Contact Email: <br />Address: 2��(�� N ' 33_'2� City/State/ZIP: 1 <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 />�y Organization Name: , n __ Contact Name: <br />Contact Phone: <br />Address: <br />Contact Email: <br />City/State/ZIP: <br />• <br />Section B - Event Information <br />Event Name : mlhzg O-L1 (__ Event Type: (Festival, Race, Parade, Other): <br />Event Classification: 5, Non -Profit* ❑ For -Profit <br />❑ City (Civic) Sponsored Other (If Other, please describe):*The Special 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]:�� �' L-.��__ Time: <br />Begin Date ofEvent [mm/dd/yy]:C ref LTime: <br />End Date of Event [mm/dd/yyl: _ 5 - `t _ Time: <br />Event Cleanup Completion [mm/dd/yy]: �_� 2-q Time: <br />Total anticipated attendance: -- S/_ p _ <br />The proposed event will require the closing of: Streets 0 Sidewalks <br />