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HISTORIC PRESERVATION COMMISSION <br />20 April 2015 <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: PRINT <br />T.�NO l & C{ <br />ADDRESS W, B, <br />H or O <br />I o v , Amem w 1�J <br />6 D l�(J <br />S4-. <br />F or D <br />