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NAME <br />HISTORIC PRESERVATION COMMISSION <br />19 October 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 />c <br />eA <br />ADDRESS W, B, F or D <br />HorO <br />g aq Pow kwa�- vj ,A/ <br />X41 `4) =Q -n 0 �) o �Q <br />�v <br />