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PETITION O <br />SUPPORT <br />R PLACEMENT <br />OF HONORARY <br />SIGN AND <br />THER <br />y'� rr f HONORARYF FEATURE WIDTH N THE PUBLIC RIGHT OF -WAY OR ON PUBLIC <br />PROPERTY <br />. City of South Bend - Board of Public Works <br />x , 227 W. Jefferson Boulevard, Ste.1316 <br />,ens South Bend, IN 46601 <br />Honorary Sign or Feature Request Name (Sign should read): E) 0) <br />�J <br />Proposed Location: <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATU E. <br />Print6dName&Address Sig an fure Date <br />J U <br />Printed Name & <br />Signature <br />Date <br />sY—cT------------- � <br />Printed Name&Address Signature pate <br />Ai el <br />�nted ame&Address _ Signatures ate <br />Printed ame&Address 5" n ure g <br />9. e" <br />Printed Name &Address <br />;1 <br />Printed Name&Address <br />Date <br />'112b/2Z <br />Date <br />Date <br />/(" /6 V <br />Date <br />(:)/Date r <br />Date <br />lb �-�-- <br />ate <br />tt Z 2 <br />0-1.2-oD' <br />Printed Name & Address d Signature Date <br />� C_?-G 8 C� tic c,- CA -�f lb - <br />Printed Name & Address Signature Date <br />Page of <br />