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APPLICATION FOR USE OF <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />The Board of Public Works must have FOUR (4) weeks prior notice of the <br />Sponsor: L d J j i bboo Co njt» & r_ Submitted By: c�n ,th (z e nA 1&cc j4nQ e %XnaacH a r <br />Address: 9 i`i.....� �anr r,,111 livtix._� <br />City: <br />State: 3A. zip: `` 66 4(o Phone: -'% `i --- 8 O - 76 9 Z <br />Sponsor tray use the public light -of -way described as (describe route and attach ma ) <br />( CkK�C_n t7,4_C7-4r on 1_-ncolr,Wcw) Wei-}-- kern �tqh 4n r? ��n�s can <br />-a- n Cross CLJV <br />PLEASE NOTE: THE SOUTH BEND POL E DEPART NT RESERVES HE RIGHT TO <br />LEA --to kcoc C�--tfL-CCHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />Eventname: . .o'l `tS?411 C nr1�t�1 i�tb�n matan j+onl� "1t�s UIo\-%)4' <br />❑ The Board of Public Works must have FOUR (4) weeks prior notice before event occufs <br />❑ All certificates of insurance, pre -paid costs, maps, and any other applicable information requested <br />or required by the Board of Public Works have been provided with this application <br />The event shall be held on CDe1okG,a I , 201p -- and no other date <br />+► <br />❑ ,Registration time for the event starts at ` t3 OQ./p.m. <br />❑ Starting time of the procession is IN30 4rM./p.m. <br />❑ Estimated completion time is 11.00 a./p.m. <br />This event involves the use of the following roadways <br />This event involves City streets <br />❑ This event involves County roads <br />❑ This event involves State highways <br />❑ This event involves use of a park (Must obtain permission fiom Park Board) <br />❑ I understand that I must arrange a meeting with all affected governmental agencies to <br />organize the above event (Call Marcia Qualls, Customer Service Manager, 235-5939 <br />to organize meeting) <br />® This event involves the use of the sidewalk <br />4 Participants must stay on the sidewalk and obey all traffic laws. <br />® This event is a local/regional/national event (Please circle the appropriate event type) <br />❑ This event will be coordinated with the property owner/business where staging will take place <br />Updated 4/06/16 <br />