Laserfiche WebLink
tcTH Bf-i. City of South Bend Special Event Application <br />o; ,c <br />J <br />City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Bring Completed Application and Payment to: <br />Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Z /,� <br />Date of Application: z`/ /0"5- Organization Name: COY ldd4 oP L,l An 4 <br />Applicant (Contact) Name: Fa > ll f✓ 731 . Lan do a an <br />Applicant (Contact) Phone: ZU) - �/qZ - / 6'f 6 Contact Email: b41g drCn an (a a /h ,b, v <br />Address: 731 d (a7vr / V City/State/ZIP: Sovati N IA! <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: <br />Contact Phone: <br />• Address: <br />Contact Nam( <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Name: t! yt- ojw tf -)f,e CvcsS Event Type: (Festival, Race, Parade, Other): Pfccesc1n.� <br />Event Classification: 19f Nan -Profit' ❑ For -Profit <br />''//,, � re gia✓s <br />❑ City (Civic) Sponsored M Other (If Other, please describe): i i y, c - /i o s on 5e f d , - yee Cold <br />'The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Date of Event Setup [mm/dd/yy]: <br />0✓ /1 b /Z 6 Z S Time: 7 c( J' �, <br />Begin Date of Event [mm/dd/yy]: G `l l 18 /Zc Z 5-Time: q o O <br />End Date of Event [mm/dd/yy]: C 4 //$ / Z 6, ZS Time: 6 •uo �� v <br />40 Event Cleanup Completion [mm/dd/yy]: <br />Total anticipated attendance: <br />1W /i4 lee?6 Time: Z 6c '?,- <br />Z 50 <br />The proposed event will require the closing of: E Streets (Sidewalks <br />