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u <br />11 <br />• <br />City of South Bend Special Event Application <br />'7 City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />IN(d <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brine Completed 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 />Date of Application: 1/04/2025 <br />Applicant (Contact) <br />Applicant (Contact) Phone: <br />Section A - Applicant Information <br />Organization Name: <br />St. Adalbert Parish <br />Fr. Ryan Pietrocarlo, CSC <br />574-288-5708 <br />Contact Email: rietrocarlo@stadalbertschool.org <br />Address: 2505 W. Grace St City/State/ZIP: <br />South Bend, IN 46619 <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: St. Adalbert Parish Contact Name: <br />Contact Phone: <br />574-288-5708 <br />Address: 2505 W. Grace St <br />Juan Ramos <br />Contact Email: juan@lacasadeamistad.org <br />City/State/ZIP: South Bend, IN 46619 <br />Cell: 574 - 276-6195 <br />Section B - Event Information <br />Event Name: Cinco de Mayo Festival 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 />Date of Event Setup [mm/dd/yy): 05/03/2025 Time: <br />Begin Date of Event [mm/dd/yy]: 05/03/2025 <br />End Date of Event [mm/dd/yy]: 05/03/2025 <br />Time: <br />Event Cleanup Completion [mm/dd/yy]: 05/03/2025 Time: <br />Total anticipated attendance: <br />rrrr <br />The proposed event will require the closing of: 21 Streets ® Sidewalks <br />8:00am <br />12:00pm <br />8:00pm <br />9:00pm <br />