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J <br />TTR City of South Bend Special Event Application <br />iu4 4 <br />I�`IIn� 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 />Please Brine 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: 1/10/2024 <br />Applicant (Contact) Name: Michelle FitzGerald <br />Applicant (Contact) Phone: 574-303-7177 <br />Address: 2228 Mishawaka Ave <br />Organization Name: MAKE SOUTH BEND <br />ContactEmail: michelle@makesouthbend.com <br />City/State/ZIP: South Bend, IN 46615 <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 />Event Name: Rebel Art Fest <br />Contact Name: <br />Contact Email: <br />City/State/ZIP: <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 H of this <br />application. The description should be a summary overview.) <br />Rebel Art Fest is a one day free festival that celebrates local art and music. The event runs 12pm-8p <br />with time before and after for set-up/tear-down. <br />Date of Event Setup [mm/dd/yy]: 06/09/24 <br />Begin Date of Event [mm/dd/yy]: 06/09/24 <br />End Date of Event [mm/dd/yy]: 06/09/24 <br />Time: <br />8:00 am <br />Time: <br />12:00pm <br />Time: <br />8:00pm <br />• Event Cleanup Completion [mm/dd/yy]: 06/09/24 Time: 10:00pm <br />Total anticipated attendance: 5,000 <br />The proposed event will require the closing of: ® Streets ❑ Sidewalks <br />