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I' 1 <br />LJ <br />• <br />0 <br />x #4 City of South Bend Special Event Application <br />Neighborhood Event <br />25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />$ pP• g Y <br />Please BringCompleted A-oplicatton 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. Neighborhood 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 />Section A - Applicant Information <br />Date of Application: to L � � is Organization Name: n/a <br />Applicant (Contact) Name: Benjamin Valle <br />Applicant (Contact) Phone: 815-276-1403 Contact Email: thevalles2l@gmaii.com <br />Address: 1413 E. Monroe Street City/State/ZIP: South Bend, IN 46615 <br />Secondary Contact Name: <br />Julia Valle <br />Contact Phone: 520-488-6442 <br />Email: thevalles2l@gmail.com <br />Address: 1413 E. Monroe Street City/State/ZIP: South Bend, IN 46615 <br />Event Name: <br />Monroe Street Block Party Expected Attendance: 50-60 <br />Requested Street <br />From (Cross Stre< <br />To (Cross Street): <br />Monroe Street <br />Twyckenham Drive <br />Sunnyside Avenue <br />Provide a brief description of the event: <br />Creating an opportunity to bring residents together on the street. We'll have yard games, a potluck, <br />and will hopefully work with the fire department to arrange a fire truck for the kids again this year. <br />At our innaugural block party last summer, we had residents who had lived on the street for 20+ years <br />but had not met one another until the party last year. <br />Date of Event Setup [mm/dd/yyi: 07/19/25 <br />Begin Date of Event [mm/dd/yyl: 07/19/25 <br />End Date of Event [mm/dd/yyl: 07/19/25 Time: <br />Event Cleanup Completion [mm/dd/yyi: <br />07/19/25 Time: <br />2:30pm <br />3:OOpm <br />7:OOpm <br />7:30pm <br />Have all residents on the affected block have been notified and invited? ® Yes ❑ No <br />Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. <br />Number of households fronting the proposed street closure: <br />Number of households represented by signatures on attached sheet: <br />Will this event have music (live or other)? ❑ Yes 0 No <br />