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City of South Bend Special Event Application <br />Neighborhood Event <br />-1 S25 application feeif filed 30 days or greater (up to 180 days) in advance of event. <br />Please Brine 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 />hearreoteA <br />Date of Application: 7/7/25 <br />Section A - Applicant Information <br />Organization Name: North Shore Triangle Neighborhood Assoc <br />Applicant (Contact) Name: Jo M. Broden <br />Applicant (Contact) Phone:574-855-8654 Contact <br />Address: 201 W North Shore Dr City/State/ZIP: South Bend IN 46617 <br />Secondary Contact Name: <br />Contact Phone: Contact Email: NorthShoreTriangle@gmail.com <br />Address: City/State/ZIP: <br />Event Name Parkovash Band Presents:NST Roots Concert Expected Attendance: 200-300 <br />Requested Street Closure 1-Parkovash Dr 2-N Lafayette Blvd 3-Hillcr st R <br />From (Cross c•r"•r., N I afa�PttP RI •A 7-n r ai z-tnt o,.k Se <br />To (Cross Street):1-Hillcr t Rd 2-Parkovash Ave 3-Parkovash A e <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 (mm/dd/yyJ: 8/2.3/2-5 Time. 11:00 am-4 00 on <br />Begin Date of Event (mm/dd/yvl: 8123125 Time: 4.00 Q,I7J <br />End Date of Event (mm/dd/yy(: 8/23125 Time-8:00 om <br />Event Cteanup Completion Imm/dd/yy):8/23/25 Time:o nn nm <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: 23 <br />Number of households represented by signatures on attached sheet: <br />Will this event have music (live or other)? CO yes 0 No <br />