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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 />City of South Bend - Board of Public Works <br />227 W. Jefferson Boulevard, Ste.1316 <br />South Bend, IN 46601 <br />Honorary Sign or Feature Request Name (Sign should read): jbf-kj <br />Proposed Location: ) I,, «tl �.� 5"� 'a' - -r $Fl] <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />r qil k <br />v <br />Atn eria us2eAws <br />/ 2x.a�� <br />// <br />Printed Name&Address <br />7ccSo, Zav�/�ti <br />Signt1tf ate <br />Printed Name & Address <br />~ <br />nat Date <br />I)ylcc�lacias <br />6z/W <br />ee�a,81✓c� <br />s,81 y�all <br />- !� j��i� <br />��rinntte'd Name &Address <br />' `V� � Vt — A-V% <br />�I ` <br />� 2� <br />Signature Da/t+e- �] �f <br />l " I Jr d1 d — <br />Printed Name & Address <br />Signa� Date <br />1 ilL1.ant <br />U r`j <br />EclIL-,)3 <br />SA 2 <br />lg kJA 0- <br />�doro � <br />. <br />Lh,& <br />Printed Name&Address <br />SIRRature Date <br />++ <br />�9 <br />Pr,#rated Name&Addrns <br />Signat re Date <br />0 <br />Name& <br />;ed one &Addrress ff 71oo <br />-ALWAA. �CNrt5dO' <br />qd Name & Addre s <br />ed Na a&Address <br />6 14 . hr150 o <br />ed Name&Address <br />e.e.,. s y Ld,t t►:.h � <br />r ' <br />y� <br />(L% r,, �En )( <br />Signature Date <br />1/•'!S-tz <br />Signature Date <br />-is-Zz <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 />Page of <br />T— 2Z <br />