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HISTORIC PRESERVATION COMMISSION <br />17 NOVEMBER 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 A <br />NAME: PRINT ADDRESS W, B, F or D <br />H or O <br />vxx $ (,v <br />