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t <br /> Lj L L 4./ <br /> city and state <br /> submitted to the Department of Housing and <br /> Urban Development on <br /> date <br /> FILED IN CLERK'S OFFICE signature of the chief executive <br /> -'UN 191968 name and title <br /> KATHRYN L. SLOUGH <br /> CITY CLERK, SOUTH BEND, IND. <br /> Form HUD-1082 (12/65) Form approved by the Bureau of the Budget No. 63-R984.2 <br />