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Neighbor Sianature Sheet - Neiahborhood 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 i / to <br />l \ i <br />Street Name Cross Street-Cross Stkk <br />Date of Event <br />1. <br />Signature <br />6• <br />Signature <br />Name <br />Name <br />Address <br />oZ5�14IAI <br />Address <br />Phone No. <br />57CtR—UQACf.'I( *1(o <br />Phone No. <br />Date <br />1_Z9-Z <br />1 <br />Date <br />2• <br />Signature <br />7• <br />Signature <br />Name <br />r ; eg <br />Name <br />Address <br />Address <br />Phone No. <br />l0! <br />31- / 0 y(o <br />Phone No. <br />Date <br />z <br />Date <br />3. <br />Signature <br />B• <br />Signature <br />Name <br />q aSSe�O <br />Name <br />Address <br />O / <br />Address <br />Phone No. <br />r? ^ 9 �/ a <br />39 <br />Phone No. <br />Date <br />J - / ) ^ ( <br />Date <br />4• <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />S• <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />