Laserfiche WebLink
--� PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN AND OTHER <br />HONORARY FEATURE WITHIN THE PUBLIC RIGHT-OF-WAY OR ON PUBLIC <br />PROPERTY <br />x: - r..• City of South Bend - Board of Public Works <br />227 W. Jefferson Boulevard, Ste.1316 <br />�J South Bend, IN 46601 <br />Honorary Sign or Feature Request Name (Sign should read): { n <br />Proposed Location: L t f <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Print am &Address gnature Date <br />Printe ame&Address <br />/k t- V r Ki <br />Printed Name &Address <br />Printed Ndme &Address <br />Printed Name &Address <br />Prin Name&Address <br />1 ':V. Ce( "�o' m <br />;�e� a '/{ , <br />Printed Nahe &tyddress� <br />Printed Name Address <br />n f� iA <br />Printed Name &Address <br />Printed Name & Address <br />Printed Nam & Addr ss <br />Printed Name & Address [ y <br />P6 Name&Address <br />Prnted Name & Address <br />Printed Name & Address <br />nA �(. h(. $5. <br />10s dVA-Ae';etz a <br />Is, <br />lu �� <br />w . S�,ol e, <br />I� <br />v� <br />Date <br />Signature �jDate �- y <br />9 '0�'-Z <br />nature Date <br />.li <br />ignature Date <br />Signature Dat <br />I <br />Signature Date <br />„ --� � 12 <br />Signature ` ate <br />Signature <br />�- S, atur <br />Printed Name &Address Signature <br />Page j— of <br />Of C,4 Gz <br />Dat <br />n��aQ <br />Date`-�J� <br />zld <br />Date <br />Date <br />