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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 Malde �� to A ` <br />Street Name r�•� Cross Street Cross Street <br />Date of Event: SSI I �- 2 O r-2- <br />1. <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />^ <br />-W4 L41 LEE A <br />Name <br />Address <br />'1 F�EMDN I ST' <br />Address <br />Phone No. <br />�c1� S Y� <br />Phone No. <br />Date <br />F 1A Z -( <br />t� <br />Date <br />2. <br />Signature <br />O �^ <br />7. <br />Signature <br />Name <br />Name <br />Address <br />It1 Z\ �V 1 <br />v _C <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />8. <br />Signature <br />Name <br />a 0 4.Iit, f 'e <br />Name <br />Address <br />C <br />% <br />Address <br />Phone No. <br />' 1 )j— <br />/ (J / / `C <br />Phone No. <br />Date <br />q <br />/ <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />`G rrr-- Y + S4 <br />1507 <br />Address <br />Phone No. <br />\ It( _ as <br />Phone No. <br />Date <br />/Jra3 / a' <br />b <br />Date <br />5. <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 />