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Neighbor Signature Sheet - Neighborhood Special Event <br />We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a <br />block party in the area described as: <br />from �� V <br />l l �to <br />�� rLj . <br />Stred Name Cross Street Cross Street <br />Date of Event: 0 <br />llJJ <br />1. Signature//���J� gry � <br />6• <br />Signature <br />Name <br />Name <br />Address /� � I' f I � <br />Address <br />Phone No. /J 7�r_1.J _ <br />Phone No. <br />Date �. _ � � <br />Date <br />1Ju'� <br />2• Signature <br />Name � � <br />7. <br />Signature <br />Name <br />Address <br />Address <br />Phone No.`'I <br />_ 5 ILA <br />� S � <br />JL � <br />Phone No. r ,7 ® <br />G <br />Date <br />Date <br />Si nature <br />g <br />. <br />3 Signature� <br />1 �j� <br />Name too <br />1 �0 <br />Name <br />Address <br />ek <br />I <br />t <br />Address <br /><< <br />� <br />Phone No.q <br />6c� _ �eri �� <br />Phone No. <br />N <br />�'`�2Q <br />J l <br />Date c) nL <br />Date <br />151 2g:�4 <br />4. Signature <br />9. <br />Signature <br />Name � <br />Address L q6rlAddress <br />f <br />Name <br />t <br />I <br />Phone No. <br />Phone No. <br />Date3 ` <br />Date <br />( 1 <br />\ U <br />I�rq �� AA <br />UigA C �✓ �C <br />5• Signature / vC� rl� <br />10• <br />Signature <br />Name C� a/I V <br />Name <br />Address Yd-( 6` I I r <br />Address <br />ZZ &-i _ LV 11� C/Lj Ac/ <br />Phone No. 6 YJ j --'l 7 <br />Phone No. <br />� �� _ �Oq 4g-:�-3 <br />Date <br />l_ <br />0 — ) — 6 "L) <br />Date <br />— �� <br />