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• <br />�rH 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 />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brine Comoleted 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: <br />5/26/2025 <br />Section - Applicant Information <br />Applicant (Contact) Name: Carrie Pickens <br />Organization Name: Westside Memorial Day Parade <br />Applicant (Contact) Phone: 574-316-9132 Contact Email: sbmemorialdayparade@gmail.com <br />Address: 56893 Mayflower Rd City/State/ZIP: 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: <br />Contact Phone: _ <br />• Address: <br />r� <br />L <br />Contact Name: <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name: South Bend Westside Memorial Day *pe: (Festival, Race, Parade, Other): parade <br />Event Classification: • Non -Profit' ❑ For -Profit <br />0 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: Adetailed 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): <br />Begin Date of Event [mm/dd/yyl: <br />End Date of Event [mm/dd/yy): <br />5/26/25 <br />5/26/25 <br />5/26/2025 <br />Event Cleanup Completion [mm/dd/yyl: <br />Total anticipated attendance: 3,000 <br />5/26/2025 <br />Time: <br />6:00 a.m. <br />8:15 a.m. <br />Time: <br />10:00 a.m. <br />Time: <br />Time: <br />11:00 a.m <br />The proposed event will require the closing of: ®Streets 0 Sidewalks <br />