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08-16-' 18 07:29 FRO -- <br />5742396407 T-453 P0001/0007 F-675 <br />APPLICATION FOR USE OF <br />PUBLIC RTGH -OF-WAX FOR PROCESSIONS <br />The Board of Public Works must have FOUR. (4) weeks prior notice of the <br />Sponsor: C� ure� _Z4jo 1` 1 j V PPV 10:?5 Submitted By: MM Al Af <br />Address: 2(Q(p F4,11► s . �a gg( qG8 /1 <br />�l��wa <br />So h �3 <br />City: ..mow /0&4e jcwd � r resPa�► <br />State: �.� T zip: q4"J- 4i Phone: slygg g1416- <br />Email; 44-,o,d <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: cf . ) 4 cou'Ov M40 gill alil <br />r' The Board of PublicVWorks must havef FOUR ( weeks prior notice before event occurs <br />EJ All certificates of insurance, pare -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 Sew 30. 20 � $ and no other date <br />©' Registration time for the event starts at/LW*U a.m./p.m. <br />Starting time of the procession is a m.in <br />Estimated completion time is <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 />0 This event involves use of a park (Must obtain permission from lark 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 ManageYr, .235-5939 <br />to organize meeting) <br />JZ This event involves the use of the sidewalk <br />[A Participants must stay on the sidewalk and obey all traffle laws. <br />�) This event is <q@glonal/aational event (Please circle the appropriate event type) <br />This event will be coordinated with the property ownertbusiness where staging will take place <br />Updated 08/2017 2 <br />