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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 to <br />&V t_ C\ tt>D C V <br />Street Name Cross Street Cross Street <br />Date of Event: <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />\ c7 \ <br />Name <br />` ' <br />Address <br />A503 <br />Address <br />Phone No. <br />� cLa 2�c1� �,t <br />`C <br />Phone No. <br />C-7 '�C_ pq <br />✓ L '�7 <br />Date <br />„1 2C <br />Date <br />2• <br />Signature <br />/ <br />d ute/ ��iteZ <br />7• <br />Signature <br />Name <br />Name <br />OS <br />Address <br />S'�U S <br />Address <br />Phone No. <br />S 7y \ S- c j O <br />Phone No. <br />2 <br />Date <br />17 �(/ <br />Date <br />-7- <br />3. <br />Signature <br />f, <br />ove <br />B• <br />Signature <br />ta�C a <br />Name <br />Name <br />OS <br />Address <br />Phone No.7 <br />T <br />Address <br />PN25 un a <br />Phone No. <br />872 <br />Date- <br />Date <br />—7_ 1 <br />Z <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />1 e <br />Name <br />Address <br />Address <br />Z3�7 <br />Phone No.Phone <br />s�N ��3--�a-c�� <br />No. <br />57y -7U3_ <br />Date <br />_ <br />— <br />Date <br />'7 ZI <br />S <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />'' <br />Address <br />Phone No. <br />O / <br />1 (J <br />Phone No. <br />Date <br />Date <br />