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X_ City of South Bend Special Event Application <br />f--ef <br />• ._ Neighborhood Event <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />Please Bring Completed Application and Payment to: <br />Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN <br />Review the Instructions on the Special Events page before completing the application. Neighborhood Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will net <br />hp accpnted_ <br />Section A - Applicant Information <br />Date of Application: lJ �/ I Z ZS- Organization Name: McKinley Terrace Neighborhood Association <br />Applicant (Contact) Name: Catherina (Cat) Zmud <br />Applicant (Contact) Phone: (574) 485-7197 Contact Email: camzmud@gmail.com <br />Address: 3101 Wilder Dr <br />City/State/ZIP: South Bend, IN 46615 <br />Secondary Contact Name: Monica Robinson <br />Contact Phone: (574) 303-2375 Contact Email: realtormonicarobinson@gmail.com <br />Address: McKinley Terrace City/State/ZIP: South Bend IN, 46615 <br />• Section B - Event Information <br />Event Name: Fun in the Park Expected Attendance: 100-200 <br />Requested Street Closure: Helmen Dr <br />From (Cross <br />Dr <br />To (Cross Street): Manchester Dr <br />Provide a brief description of the event: <br />The McKinley Terrace Neighborhood Association will be hosting our neighborhood's third annual block party! Our block <br />party is a chance for neighbors to get outside, have a little bit of free fun and meet people from the neighborhood. We <br />provide water, snacks and entertainment. <br />Date of Event Setup [mm/dd/yy]: C$� I1 O' -Z-s Time: <br />d 0&Lf,.t, <br />� /0 Z5- Time: <br />Begin Date of Event [mm/dd/y!!t <br />1 L : ODPyw <br />End Date of Event [mm/dd/yy]: 1O ZS Time: <br />O3' d DP+� <br />N' IO Z 5- <br />Oy cUP✓k <br />Event Cleanup Completion [mm/dd/yy]: I Time: <br />Have all residents on the affected block have been notified and invited? <br />,Yes ❑ No <br />Please attach a copy of the door hanger or letter used to notify residents <br />in addition to signature attachment. <br />• Number of households fronting the proposed street closure: 2 <br />Number of households represented by signatures on attached sheet: <br />Will this event have music (live or other)? ❑ Yes 0 No <br />