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Firefox <br />about:blank <br />• <br />• <br />.., City of South Bend Special Event Application <br />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: <br />Applicant (Contact) <br />.i <br />Name: !I/i�i'�OCI t7C/ <br />Applicant (Contact)) PPhone'.) V / — 7-D, J —mo /ContacttEEEmail: �t e alb/CO///7-aff.-)17 AV s <br />Address:A0nt37 /Y. Z0'4Ueity/State/ZIP: <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 />Contact Name: <br />Contact <br />City/State/ZIP: <br />/ /�Sectionn B - Event Information <br />Event Name: L'e'e'"�r!fJ'T/I/,At7L/4iTventType: (Festival,Race, Parade, Other):A;/i0_ <br />Event Classification: [HNon-Profit' ❑ For -Profit 11 . <br />❑ City (Civic) Sponsored ['Other (If Other, please describe):-SonSo/L�{ (�t� <br />o <br />'The Special Events Committee may request proof of non-profit status. 410';O rtol0% <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]:,...///I//7e 13, aoa S Time: //onx- <br />Begin Date ofEvent [mm/dd/yyf"74Ae /.7" aooy Time: /oaw <br />End Date of Event [mm/dd/yy]:N ///%C° ��/ G?Op� S Time: D/I? <br />Event Cleanup Completion [mm/dd/yy1: N9P'r e A � STime: 41,00 ✓ <br />Total anticipated attendance: <br />The proposed event will require the closing of: tfs Streets ❑ Sidewalks <br />Corn <br />Iof10 <br />3/14/2024, 5:05 PM <br />