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10/26/2018 FRI 14!18 FAX <br />2003/009 <br />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: S�• �c� /n1"►AX�S(� <br />Address: -711 C" t C V 1 <br />City, SC'4� VY.b►d <br />State: 11.) <br />Submitted By: M,av",-w Vk2e <br />yRue�acirr <br />,s,bbftl • 67 q 23 q-a.q,%l <br />Zip: q&&17 Phone: C elj 513 - 2q0—77 80 <br />Email: toI .-te i e'e hcl•e4U <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: S 4• P 1 G + v ac. <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 />or required by the Board of Public Works have been provided with this application <br />The event shall be held on -DeG Vt , 20 I l and no other date <br />Registration time for the event starts at . ./p.m. <br />[� Starting time of the procession is _ 0 ./p.m. <br />['r Estimated completion time is AtAawm. <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 />C] This event involves State highways <br />[� This event involves use of a park (Must obtain permission from Park Board) C- <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 />Qr This event involves the use of the sidewalk <br />[� Participants must stay on the sidewalk and obey all traffic laws. <br />Q� This event is <9relgional/national event (Please circle the appropriate event type) <br />P' This event will be coordinated with the property owner/business where staging will take place <br />Updated 09/2017 <br />