Laserfiche WebLink
This Agreement is subject to revocation by the City of South Bend if this lot(s) is/are <br />offered for sale prior to <br />Date: 'V'C 11 L �� n o <br />Company Representative <br />Signature: <br />Name: <br />"Title: <br />Address: <br />City: <br />Telephone: <br />State: Zip: <br />�C <br />BOARD OF PUBLIC WORKS APPROVAL <br />Ad-" I <br />k U�- <br />President Member Member <br />Member <br />Member <br />RETURN FORM TO: <br />Board of Public Works <br />1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />Phone: (574) 235-9251 • Fax: (574) 235-9171 <br />G�iz�o t <br />Date <br />3 <br />