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INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT 8/22/2017
TO: Ed Gleckler, Traffic & Lighting
Gene Eyster, Police Department
Matt Longfellow, Engineering
Chris Dressel, Community Investment
�I Federico Rodriguez, Fire Department
\/Marcia Qualls, Engineering
FROM: Linda M. Martin, Clerk
SUBJECT: STREET CLOSURE RECOMMENDATION
Sylvan Glen Drive from Windin wood to 35th and
LOCATION: Oakcrest
DATE AND TIME: October 7, 2017
SPONSOR: Joanne M. Horak
DATE DUE: September 5 2017
FAX OR E-MAIL TO: 235-9171 1 Imartin southbendin. ov
RECOMMENDATIONS AND COMMENTS:
By Date
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APPLICATION3'�
FOR USE OF AND BLOCKING OF ACCESS T PUBLIC u�K�
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY R
City of South Bend, Indiana • Board of Public Works
PERMIT AND AGREEMENT FOR THE
USE OF RIGHT-OF-WAY FOR BLOCK PARTIES
1. Pursuant to Local Ordinance No. 10102-11, there is a $50.00 non-refundable fee for residential
Block Parties. Non-profit organizations meeting Section 501(c)(3) of the Internal Revenue Code
are exempt from the fee provided copies of the 501(c) (3) Internal Revenue Exemption Status
Document and a current copy of Form 990 or Form 9990-EZ are filed with this application.
2. Block parties are allowed solely for neighborhood events. No block party application will be
approved for private parties.
3. All residents within the affected area must be notified of this event. The APPLICANT must
obtain signatures from and/or has made an attempt to notify all residents that reside on the block.
A copy of a brochure or letter of invitation distributed to all affected neighbors describing
the event purpose, date, and time must be included with the application.
4. The cones will be delivered to the APPLICANT'S address. The APPLICANT assumes full
responsibility for clean-up and assures the City that all cones will be maintained and returned
undamaged. The APPLICANT will be liable for the replacement cost of $50.00 per cone as a
result of any missing or damaged cones.
5. Block parties must end by 8:00 p.m.
6. A street will be blocked off from intersection to intersection only. No half -blocks or alleys can
be blocked off.
7. The Board of Works reserves the right to deny any block party application based on traffic and
speed limit records. No street may be closed with a speed limit over 30 MPH or considered to be
a major arterial.
8. The Board of Public Works reserves the right to deny any block party application based on
information gathered from the South Bend Police Department or other sources.
9. The APPLICANT agrees to allow residents that live on the above -referenced block access in and
out of the restricted area as needed.
10. The APPLICANT agrees to abide by all terms and condition of the South Bend Municipal Code
and Board of Public Works' policy adopted in Resolution No. 21-2011 on February 28, 2011
11. APPLICANT agrees to indemnify, defend and hold harmless the Civil City of South Bend,
Indiana, from any liability, loss, costs, damages or expenses, including attorney fees, which the
Civil City of South Bend, may suffer or incur as a result of any claims or actions which may be
made by any person, including a participant in the activity, arising out of the approval of this
request by the Board of Public Works to close a portion of the public right-of-way for a party or
similar event. The undersigned certifies that he/she is authorized to bind the APPLICANT to the
terms hereof.
12. Notification of approval/denial of this request will be issued by return of this form, upon signed
authorization by the Board of Public Works.
13. The City of South Bend Noise Ordinance is in effect at all hours. Between the hours of
RETURN FORM TO: 3
Board of Public works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone. (574) 235-9251
11:00 p.m. and 7:00 a.m. certain noises are particularly prohibited. These include
operating radio receiving sets, musical instruments, phonographs and other sound
reproduction devices if audible fifty (50) feet away, as well as shouting, yelling, hooting,
whistling, or singing in the streets in a manner to disturb the peace (Municipal Code 13-
57).
I have read the Application and Permit and the Agreement for the "Use of Right -of -Way for Block
Parties" and I understand and agree to the above rules and regulations. I also understand that this
application may be denied based on any false or incomplete information.
Dated this _�`� day of r k �� i 20
BOARD OF PUBLIC WORKS APPROVAL
Presi nt Member Member
7
Member M ber Date
Bercliff Estates Neighborhood Block Party
Come get to know your neighbors!
October 7, 2017
Noon — 3 PM
Sylvan Glen Dr. between Windingwood & 351" Street
$10.00 per household
(Cost will cover $50 fee to city, hot dogs/buns, tableware)
Please bring a dish to share, beverage (NO alcohol)
and chairs/blanket.
RSVP with $10 by September 27, 2017
To either Joanne Horak (227 Sylvan Glen Dr. 288-3999)
Or Beth Brown (126 Timber Lane)
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RESIDENT SIGNATU
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We have been informed, agree to, and request that the Board of Public Works of the City of
South Bend authorize a block party in the area described as:
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Street Name C&98 Street Cross Street
Date of Event
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Signature
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Updated 6/22/12 5
RESIDENT SIGNATURES Page "q of
We have been informed, agree to, and request that the Board of Public Works of the City of
South Bend authorize a block party in the area described as:
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Street Name ss Street Cross Street
Date of Event nr �(- � � - 0 I�
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Updated 6/22/12 5
RESIDENT SIGNATURES
Page
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We have been informed, agree to, and request that the Board of Public Works of the City of
South Bend authorize a block party in the area described as:
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Street Name
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Date of Event �—'t
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4.
9.
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Phone No.
Phone No.
Date
Date
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10.
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Phone No.
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Date
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Updated 6/22/12 5
RESIDENT SIGNATURES Page 4 of
We have been informed, agree to, and request that the Board of Public Works of the City of
South Bend authorize a block party in the area described as:
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Street Name 11 s Street Cross Street
Date of Event c (�;O1�-
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Updated 6/22/12 5