Laserfiche WebLink
06 <br />Ff <br />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 />PEACECity of South Bend - Board of Public Works <br />227 W. Jefferson Boulevard, Ste.1316 <br />x x. <br />South Bend, IN 46601 <br />Honorary Sign or Feature Request Name (Sign should read):FJ <br />Proposed Location: Ub! 1 • ��� S�i�TF� _ l <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIG_ N OR FEATRE. <br />Printed Name&Address Signature [3 <br />Printed Name & Address 5ignat�a Date <br />ia. aln S�ern L2co e. bnt+ell St <br />PrirYd Name& ddress n Signature n � �pzwc— <br />M4 if 1 f 0 �—i�F t :A I ! �t` e� I 1 - //It-io �m 6 <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name & Address <br />Signature <br />Page of <br />Date <br />