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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN AND OTHER <br />a� HONORARY FEATURE WITHIN THE PUBLIC RIGHT-OF-WAY OR ON PUBLIC <br />f PROPERTY <br />City of South Bend - Board of Public Works <br />227 W. Jefferson Boulevard, Ste.1316 <br />r& South Bend, IN 46601 <br />Honorary Sign or FeatureRequest Name (Sign should read): <br />Proposed Location: Ebb"1 Sf ��� <br />---� u t I I i I / u <br />I . 5J- 7 <br />I <br />M. <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, I NDIANA, <br />SIGN OR FEATURE. <br />J o&4C C t vJ 1 M f rovl h p ill CoL- r� <br />I SUPPORT THE PROPOSED <br />HONORARY <br />2y g Z <br />P 'ated Name & Address <br />a �i 6 fir, <br />Printed Name&Address <br />atu <br />Sigtmeure <br />ate <br />i <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 />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name &Address <br />Signature <br />Date <br />Printed Name & Address <br />Page of <br />Signature <br />Date <br />