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OF 5pU'1'/l BEhO <br />CITY OF SOUTH BEND <br />s DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />1865 <br />Exhibit B <br />PETITION FOR RESIDENTIAL SPEED LIMIT <br />Date (petition application submitted): <br />Primary Contact Name and telephone number and/or e-mail address: <br />We, the residents of the <br />neighborhood/residential area hereby petition the City of South Bend Board of Public Works for <br />the implementation of a reduced residential speed limit. We acknowledge the warrants as <br />outlined in Exhibit A, and understand that acceptance of the petition is not a guarantee of <br />reduced speed limits, but rather that it serves as an application for such in order that the City <br />Engineer's office may perform the necessary data collection and evaluation. <br />Please check one: <br />This request is for the following streets in our neighborhood (please give endpoints): <br />This request is for our entire neighborhood as defined by the following boundaries <br />(please list streets forming boundary) <br />The total number of residences within the boundaries of neighborhood/residential area is: <br />The following petition is to be signed by at least 25% of the residents of the <br />neighborhood/residential area previously defined': <br />Page 3 of 4 <br />