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• <br />«'ATh a <br />City of South Bend Special Event Application <br />J <br />Neighborhood Event <br />S25 application fee if filed 30days 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 not <br />be accepted. <br />Section A - Applicant Information <br />Date of Application: 7/7/25 <br />Applicant (Contact) Name: JO M. Broden <br />Organization Name: North Shore Triangle Neighborhood Assoc <br />Applicant (Contact) Phone- 574-855-8654 Contact Email brodenict7Barnail cnm <br />Address: 201 W North Shore Dr City/state/ZIP: South Bend IN 46617 <br />Secondary Contact Name: <br />Contact Phone: <br />Address: <br />Email: NorthShoreTriangle@gmail.com <br />l;T'—q?rML=-r a r7la •1 <br />Event Name Parkovash Band Presents:NST Roots Concert Expected Attendance: 200-300 <br />Requested Street r 1-Parkovash Dr 2-N Lafayette Blvd 3-Hillcr st R <br />From (Cross rtreatl 1-N I afAyPttn Rlvd 9-Ostemn PI 3-W Pnkannn-$t <br />To (Cross Street): 1-Hillcre t Rd 2-Parkovash Ave 3-Parkovash A <br />Provide a brief description of the event. <br />Local cover band "Parkovash" to perform a free family friendly concert in Parkovash Park. <br />located in the North Shore Triangle. Food trucks will provide tacos. <br />Date of Event Setup Imm/dd/yyl: 8/2.3/2.5 Time.11:00 am-4:00 <br />Begin Date of Event(mm/dd/yyl: 8/23/25 Time: 4.00 Don <br />End Dateof Event Imm/dd/WI: 8123/25 <br />Event Cleanup Completion lmm/dd/yyl: 8/23125 Time: o nn pm <br />Have all residents an 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 />23 <br />Number of households represented by signatures on attached sheet: <br />Will this event have music (live cr other)? © yes 0 No <br />