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 />City of South Bend - Board of Public Works <br />x. 227 W. Jefferson Boulevard, Ste.1316 <br />South Bend, IN 46601 <br />Honorary Sign or Feature ReN—rO�)-� <br />Name (Sign should read): C Do ` <br />—� <br />Proposed Location: S�C1-t F( fSF,tiI <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Printed Name &A ress Signa re Date <br />ahjWn <br />Printe am Ad L Si ` e Date <br />Jr.. i C � 7 / % Q r —rA C L? <br />KedName&Address ` <br />Printed Na a&Ad_ ess <br />pf -, CSC <br />Ii <br />d <br />Name &Address n <br />d wlt-16x 7tr <br />Pri t &Addreisil <br />'ems' 7 L-j <br />Printed Name & ddress <br />Printend Name & Address <br />l.+{ <br />Printed -lame & Address 77 <br />Z. <br />7� <br />Printed N e& dd ss <br />Printed Name & Address <br />zwzr <br />Printed Name &Address . rti <br />ame <br />ignature <br />"P q _ <br />++,, <br />5ignat <br />_��� ur� <br />sew, <br />Signature <br />�r <br />Ct► G) <br />Signature <br />re <br />Name o Z 3 � r �' Pa�— <br />Nam dress G Signature <br />Name Address Signature <br />Page of <br />Da <br />Date <br />f1z-erl <br />Date <br />Date <br />_?5_ZZ <br />Date <br />Dite <br />ate <br />❑a e <br />Date <br />Date <br />Date] <br />���L. c� <br />Date <br />- <br />Date <br />Date <br />