Laserfiche WebLink
HISTORIC PRESERVATION COMMISSION <br />20 JULY 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 ADDRESS W, B, F or D <br />H or O <br />0�" 1 <br />L `r' 15 ��Mer! c -K �S/l �v1A S �i Sr�: LA) <br />i <br />