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Special Event - September 4, 2021 Block Party - September 4
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Special Event - September 4, 2021 Block Party - September 4
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8/24/2021 3:06:31 PM
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8/24/2021 3:06:21 PM
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Board of Public Works
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Recommendations
Document Date
8/24/2021
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Se -P+ L�j 1-0 ;)-1 <br />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 />Street;Nartre Cross Street Cross Street <br />Date of Event: <br />1• <br />Signature <br />XV <br />Name <br />44011 <br />Address <br />Phone No. <br />7 ` <br />Date <br />2. <br />Signature <br />Name <br />Address <br />Phone No. <br />Date <br />3. <br />Signature <br />Name <br />n� <br />Address <br />Phone No. <br />Date <br />4. <br />Signature <br />Name <br />1� <br />Address <br />Phone No. <br />e <br />Date <br />_r <br />5. <br />Signature <br />Name <br />Address <br />Phone No. <br />Date <br />'-:17 ?c <br />° Signature <br />Name <br />Address <br />Phone No. <br />Date <br />7• Signature <br />Name <br />Address <br />Phone No. <br />Date <br />8. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />9. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />10. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />
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