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HISTORIC PRESERVATION COMMISSION <br />26 JANUARY 2415 <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), 10(Black), _H (Hispanic),C} ((Xher). If you are female, include F, and if you are <br />disabled, include A <br />NAME <br />r <br />ADDRESS W, B, <br />H or O <br />,t t� <br />(M/ar# ST <br />ForD <br />