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API'i,l(CATION FOR USE OF , Ul 04 <br />PUBLIC RIGHT-OF-WAY FOR PROCESSIONS <br />Ile Board of Public Works .crust have FOUR (4) weeks prior notice of the event," iW <br />Sponsor; SUP 9, 7 S-r -At. E 5 <br />Address: i E I 0, 7'r—Fr C eS"1;, -S v <br />City: <br />Submitted By: Tv.A-)(r '& AiXeil t <br />State: ��`1'PD.AfjA zip. 46,6�li Phone: 5`7 , -4-4,•17- i409 ,r 219.ITY-911 <br />Email: -�tr d"-Ck-" 01 ox-"L�i;j �' � SPr' d1� , 0frx <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 />Evpatname; S'1JN'9U?-S;T 1 ACX5 <br />© The Board of Public Works must have FOUR (4) weeks prior notice before event occurs <br />All certificates of insurance, pre paid costs, maps; and any other applicable information requested <br />orrequired by the Board of Public Works have been provided with this application <br />The event shall be held on LL�J6 Z. . 20 VF and no other date <br />Registration time for the event starts at ° u &p.m. <br />. . � _ Starting time of the pror..eesiiap is �'�° �/p.tn. _ _ . <br />Estimated completion time is 1 b'--'llo &p m. <br />This event involves the use of the following roadways <br />This event involves closure of City residential streets <br />This event involves County roads <br />[✓ This event involves State highways <br />This event involves use of a park (Must obtain permission from 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 />Ig This event involves the use of the sidewalk - farve e <br />} Participants must stay on the sidewalk and beyall traffic laws. <br />This event is a loca*giotajnational event tPlease circle the appropriate event type) <br />This event will be coordinated with the property ownedbusiness where staging will take place <br />Updated 08/2017 <br />