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• <br />• <br />r1 <br />L_J <br />Will alcohol be served or sold? ❑ Yes ® No <br />If Yes: <br />o The applicant must apply for and receive a temporary liquor license from the Alcohol &Tobacco <br />Commission. <br />o Application cannot be processed without a copy of this license. <br />o A refundable $400.00 deposit paid by card or check (made to City of South Bend) must be submitted <br />with application. <br />o Application cannot be processed without deposit. <br />o Deposit will be returned upon inspection of event area by the Board of Public Works. <br />o The applicant must submit a map or drawing of: <br />o Fencing around serving area <br />o Trash receptacles <br />o Events that will have alcohol sales must provide security. If yourevent will be hiring a security company, <br />please provide its contact information in sub -section (a) below. Otherwise, please list the names, phone <br />numbers, and qualifications (e.g. Off -duty police officer, professional security guard, or event applicant) <br />of three (3) security guards in the fields provided in sub -section (b). <br />(a) Security Company Information <br />Company Name: South Bend Police Department <br />Contact Phone: <br />Contact Name: Casey Hof <br />Email: chof@southbendin.gov <br />Address:701 W. Sample St. City/state/ZIP: South Bend, IN 46601 <br />(b) Independent Security Information <br />Name: Casey Hof Contact Phone: 574 235 9201 <br />Qualifications: Off -Duty Patrol OfficerMellness Coordinator <br />Name: <br />Qualifications: <br />Name: <br />Qualifications: <br />Contact Phone: <br />Contact Phone: <br />