Laserfiche WebLink
HISTORIC PRESERVATION COMMISSION <br />17 August 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 <br />c._&14 /� .� Lam✓ <br />'is" <br />0- \J1 L-L�A <br />1 600---A &j6V--? <br />ADDRESS W, B, F or D <br />H or O <br />3 '�j <br />g1.5' xn--k At'-c <br />