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• <br />rs <br />n <br />City of South Bend Special Event Application <br />Motorcycle Ride <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />\,>5 $100 expedited application fee if filed 30-59 days in advance of event <br />Please Bring 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 Event <br />applications must be submitted more than 30 days in advance of the event date or the application will not be <br />accepted. <br />Review the Instructions on the Special Events page before completing the application. City and Regional <br />Motorcycle Event applications must be submitted more than 60 days in advance of the event date or Itm <br />application will not be accepted. <br />,,���� Section A— Applicant Information <br />Date of Application: /�"w .�S 2�� S Organization Name: / /� <br />� <br />Applicant(Contact)Name: ��\'\4CE L')'Zk(4 A"oefScJl• <br />Applicant (Contact) Phone: ? c/ °2y9y Contact Email: L. kk!j 7 7 Y C4� C01-1 <br />Address: A09 /.� �" � City/State/ZIP: lyll/ "JAKA, . IjDo-f"A, `/as <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 Name: <br />Contact Phone: Contact Email: <br />Address: City/State/ZIP: . <br />