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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: Ot ly Wo4/1 <br />Lbmitted By: +Av _ ((►Y <br />Address: %W� -2[ <br />City: SIX. h, Send <br />State: 1\1 Zip: Phone: <br />Email: �j/Q� 11• L`U� <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 />Event name: Q Lmss <br />`6 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 />or required by the Board of Public Works have been provided with this application <br />® The event shall be held on 146r(l a s , 20t 9 and no other date <br />❑ Registration time for the event starts at a.m./p.m. <br />[� Starting time of the procession is'"i 5 a.m./P.IW. <br />Estimated completion time is a.m./gym. <br />This event involves the use of the following roadways <br />D4 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 />[�7 This event involves the use of the sidewalk <br />A Participants must stay on the sidewalk and obey all traffic laws. <br />ER This event is ag '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 08/2017 2 <br />