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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: Aj,,gaiCav al ErPnnl 121"nre1 Submitted By: MnfzUiit Wa�TC9�S <br />Address: `a 1! S. 1 n da N sT_ <br />City: AV5,9wu,,., cV9• <br />State: :Tr10lq/jA Zip: dH rjY Phone: Sly. $3%- /,r9s— <br />Sponsor may use the public right-of-way described as (describe route and attach map) <br />PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO <br />CHANGE YOUR ROUTE FOR SAFETY PURPOSES <br />EvSW name: Fj, "L, l #rILOCS ?,,'Df- <br />Ej Board of Public Works must have FOUR <br />weeks prior notice before event occurs <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 rn AX a 1 20_LfL_ and no other date <br />D Registration time for the event starts at II .00 0/p.m. <br />[( Starting time of the procession is i l' 00 Oi ./p.m. <br />VEstimated completion time is /, 3 d a.m. <br />This event involves the use of the following roadways6CD t -t- tF PnSLI b) L - <br />V"This event involves City streets _M0 t ok.keS CKt e Q.4adt.Cho-a Wd ors <br />�4 +fey oxe esWiO by F0> CQ. of <br />event involves County roads ODA - <br />r'-- <br />his event involves State highways <br />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 />❑ Participants must stay on the sidewalk and obey all traffic laws. <br />[This event is ocal egional/national event (Please circle the appropriate event type) <br />his event will be coordinated with the property owner/business where staging will take place <br />Updated 6/25/12 <br />