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Please read the Instructions prior to completing the Agreement Form <br />SUVTFj B� . <br />INSTRUCTIONS Fa <br />ENCROACHMENT �� Y€,2� <br />1865 <br />1. Application must be filled out completely. <br />2. A picture of the area where the encroachment will take place must be attached. <br />3. Describe the encroachment, such as canopy, banner, planter, underground utilities, sign, <br />etc. <br />4. Plans and specifications must be attached <br />5. The application and attachments must be received FOUR (4) WEEKS in advance <br />6. Signature is required, along with legible printed name <br />7. Rehirn Application to: <br />Board of Public Works <br />227 West Jefferson <br />1316 County -City Building <br />South Bend, Indiana 46601 <br />(574) 235=9251 <br />Fax: (574) 235-9171 <br />