Procession - Girls on the Run Michiana

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�plS7liflt , APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS �} The Board of Public Works must have FOUR (4) weeks prior notice of the Sponsor: Girls on the Run-Michiana Submitted By: Samira M. Payne Address: 51160 Bittersweet Rd Ste 202 City: Granger State: IN Zip: 46530 Phone: 574-703-1929 Email: samira.payne@girlsontherun.org Sponsor may use the public right-of-way described as (describe route and attach map) The event will start and end at Four Winds Field. We have received permission from Four Winds Field to host the event at this location. The proposed 5k route is attached PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: Girls on the Run 5k ❑ The Board of Public Works must have FOUR (4) weeks prior notice before event occurs ❑ All. certificates of insurance, pre -paid costs, maps, and any other applicable information requested or required by the Board of Public Works have been provided with this application ❑ The event shall be held on May 12 , 20 18 and no other date ❑ Registration time for the event starts at 7 a.m./p.m. ❑ Starting time of the procession is gam a.m./p.m. ❑ Estimated completion time is 10 am a.m./p.m. This event involves the use of the following roadways ® This event involves closure of City residential streets ❑ This event involves County roads ❑ This event involves State highways ❑ This event involves use of a park (Must obtain permission from Park Board) ® I understand that I must arrange a meeting with all affected governmental agencies to organize the above event (Call Marcia Qualls, Customer Service Manager, 235-5939 to organize meeting) ❑ This event involves the use of the sidewalk ❑ Participants must stay on the sidewalk and obey all traffic laws. ® This event is local/ gional/national event (Please circle the appropriate event type) ® This event will be coordinated with the property owner/business where staging will take place Updated 08/2017 2