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City of South Bend Special Event Application <br />VA Neighborhood Event <br />0 $25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <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: July 24, 2025 Organization Name: <br />Applicant (Contact) Name:James M. Lewis <br />_--------------------- <br />(574) 276-0726 jlewis@thklaw.com <br />Applicant (Contact) Phone: ______________________ Contact Email: ____________________________. <br />Address: 633 N Coquillard Dr. city/state/ZIP: South Bend, IN 46617 <br />Secondary Contact Name: <br />Greta Roemer Lewis <br />__________________________________________ _ __ <br />Contact Phone: (574) 274-3520- - Contact Email: jaygreta@sbcglobal_net <br />Address: 633 N Coquillard Dr City/State/ZIP: South Bend, IN 46617 <br />-------------------------------- ------------------------------ <br />Section B - Event Information <br />Event Name: Block Party ............... <br />Requested Street Closure:___N_Coquilard Dr. <br />___________________ <br />From (Cross Street):___________Rockne __________________ <br />To (Cross Street): _ Cherry Tree <br />Expected Attendance: 40.50 <br />Provide a brief description of the event: <br />Block party (no alcohol) for neighbors on triangle Coquillard/Cherry Tree/Rockne. We have <br />done this on and off for almost 20 years. <br />Date of Event Setup [mm/dd/yyl: 9/1 /2025 -- Time: 9/1 /2025 2prn <br />Begin Date of Event (mm/dd/yy]: ________________ Time: 4pm <br />End Date of Event (mm/dd/yy]: 9/1 /2025 Time: 6pm <br />Event Cleanup Completion [mm/dd/yy]: 9/1 /2025 Time: 8Pm <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: apprO- 15 <br />• Number of households represented by signatures on attached sheet: 10 ----------------------------------- <br />Will this event have music (live or other)? ❑ Yes M No <br />