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HISTORIC PRESERVATION COMMISSION <br />15 December 2014 <br />PUBLIC SIGN IN SHEET <br />Because distribution of federal funds may be involved, the City of South Bend is required to <br />maintain a record of whether members of the public attending this hearing or event are minorities. <br />Please designate your status using the following letters: <br />W (White/Caucasian), B (Black), H (Hispanic), O (Other). If you are female, include F, and if you are <br />disabled, include D. <br />NAME <br />ADDRESS <br />W, B, <br />F or D <br />H r�O <br />t <br />(o� <br />loci Q\.v 6,\x <br />S d / 21 <br />!941 -7 <br />