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L City of South Bend Special Event Application <br />City and Regional Event <br />• vti °, z <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brine Comoleted Application and Payment to: <br />Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN <br />• <br />is <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Date of Application: <br />Section A - Apolicant Information <br />APR 15 2024 Organization Name: St. Adalbert Parish/St. Casimir Parish <br />Applicant(Contact)Name: Fr. Ryan Pietrocar[o, CSC <br />Applicant (Contact) Phone: 574-288-5708 <br />Address: 2505 West Grace St. <br />Contact Email: parishsecretary@stadalbertschool.org <br />City/State/ZIP: South Bend, IN, 46619 <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: St. Casimir Holy Name Society Contact Name: Paul Fujawa <br />Contact Phone: 574-287-0469 <br />Address: 2505 West. Grace St. <br />Contact Email: fujawapaul@msn.com <br />City/State/ZIP: South Bend, IN, 46619 <br />[TZU 7-MMfS M • n . • r <br />Event Name: Corpus Christi Procession <br />Event Type: (Festival, Race, Parade, Other): Religious procession <br />Event Classification: ® Non -Profit' ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): <br />'The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section Hof this <br />application. The description should be a summary overview.) We will process with the Blessed Sacrament from <br />St. Adalbert Church to St. Casimir Church <br />Date of Event Setup [mm/dd/yy]: Sunday, June 2, 2024 Time: 1:00 pm <br />Begin Date of Event [mm/dd/yy]: Sunday, June 2, 2024 Time: 2:45 pm <br />End Date of Event [mm/dd/yy]: Sunday, June 2, 2024 Time: 4:30 pm <br />Event Cleanup Completion [mm/dd/yy]: Sunday, June 2, 2024fime: 6:00 pm <br />Total anticipated attendance: 250 <br />The proposed event will require the closing of: ®Streets 0 Sidewalks <br />