Special Event - Sunburst Races-May 31 2025

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City of South Bend Special Event Application • City and Regional Event a $50 application fee if filed 60 days or greater (up to 360 days) in advance of event $100 expedited application fee if filed 30-59 days in advance of event Please Brine Completed Application 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. City and Regional 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: I - A I - a 5 Organization Name: SuobuCS-� Rucet) Applicant (Contact) Applicant(Contact)Phone: 514- 514-L- I Q ContactEma1I:CKipi<?r P bQaCOni eqW i Address: edn. or 3ad1 P�ea(Dn PGiKW(ly City/State/ZIP: M)Sh i_N%Isio 1�40_ 9 List any professional event organizer, event service provider or commercial fundraiser that is authorized to work on your behalf to plan, produce and/or manage your event Organization Name: Contact Phone: • Address: Contact Name: Contact Email: City/State/ZIP: Section B - Event Information Event Name: Race-5 Event Type: (Festival, Race, Parade, Other): M Ce Event Classification: d Non -Profit' ❑ For -Profit ❑ City (Civic) Sponsored ❑ Other (If Other, please describe): 'The Special Events Committee may request proof of non-profit status. Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this application. The description should be a summary overview.) RO&C &i 15 5131 Ja 5 W I Vb ail everl%5 5kaf)rtn5 and Finishicl9 ak tre cenlucyCefOer. cdverA 91an- half ma(ghcn ctnd 5Y_ run e r' AM, UL fun '1.35 AM) 5K- WIak e 9 W. Sunbu(S+ &A-D -G will meek ak Ce�ry Cenaer by 3'.U)W tr race day preparaA(:on5 and will be9irl Date of Event Setup [mm/dd/yy): Time: Begin Date of Event [mm/dd/yy]: W ;I) a� Time: rM eyph;tz (0) 916 6 AM End Date of Event[mm/dd/yy): 513II 5 Time: line closes i©_ 11.6DAM Event Cleanup Completion[mm/dd/yy): 5131_� 5 _Time: LfU PM • Total anticipated attendance: 5.0 ODn sew a uwufse cones are Sip qe by 5'.00W. +hard The proposed event will require the closing of. [,Streets ❑ Sidewalks k(QRk, OUSWe5 AU 1011In U-3o RA. knish line doses ► -ODRM .