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City of South Bend Special Event Application <br />Q City and Regional Event <br />• ` PEACL <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />1&�4 <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brin¢ 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: MA /9r gabs -Organization Name: RA-2AI4 Vr S <br />Applicant (Contact) Name: J06W 6?A.0,-rf1o5 <br />Applicant (Contact) Phone: ($74) 7.57 -boB r Contact Email: bpinnAT d�22ABa t/. con <br />Address: '713 E-.TFFCsaN ,Fid4- City/State/ZIP: Sooty _& .Vo 4 .-<,✓ le or7 <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:DAloE& CW& Contact Name: HIRK PMZGLMOSO� <br />Contact Phone: (S7y) 8 72.'fo Contact Email: KdP325Q SBG6tbbalt.. RJBY <br />• Address: A3 A 0 A"T047Al T 4ir-- City/State/ZIP: M154Au1,A-K�1 0 �d Lkt�� <br />Section B - Event Information <br />Event Name: sKjebak w Car CtIAKe-14 Event Type: (Festival, Race, Parade, Other): com s4ouJ <br />Event Classification: 2Non-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.) T h e S4* Web a1<e4„ Dri ✓er'5 C"b haS <br />paatneoed wtitt, Barnabys -to Tpontor, a Car Show on -Me Iasi Cundaq 011 Sepf. <br />{»n -Me past 5 yeai^S. Dr #40f w, L L 6e.91,1 se-/ v/r at /2 :Oo N00A/ AA16 uvl4..- ecor� <br />Dowx df S:oo P&41 <br />Date of Event Setup[mm/dd/yy]: y/2e/:o2r Time: 12.:c0 MooN <br />Begin Date of Event(mm/dd/yy]: 17474 /aoas— Time: l:00 - S 00 GNP <br />End Date of Event [mm/dd/yy]: 9128 J "&I- Time: S oo 0) r" <br />• Event Cleanup Completion [mm/dd/yy]: 91J-81so2_i-_ Time: S: DD /o rh <br />Total anticipated attendance: / 0 J _ <br />The proposed event will require the closing of: GrStreets Lh Sidewalks <br />S. S7 )-old#S PvLJ0 <br />