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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 />x. <br />South Bend, IN 46601 <br />Honorary Sign or Feature R q est Name (Sign should read): - n � 0 .D r <br />Proposed Location: Tdn1� <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Prin� ed Name & Address ig at re Date <br />►Vr�� ►ram-t�' �%Z..�� - � � • � � - zz <br />& Address + n ' Sign;e <br />'Printed Name& ddress <br />' Sig tore <br />� " ,,, <br />!.' / // <br />/Ifd.7` SI <br />Printe Name&A ress <br />ign <br />�" <br />7- <br />Printed Name &Address <br />attire <br />` <br />y I <br />P 'nted Name& ddress <br />A <br />tme� <br />Signature <br />Printed e& ress <br />Sig ture <br />Printed Name&Address <br />f)n �tli h 4 E <br />co <br />rT 10 t;P7 <br />C(Al <br />Signature <br />4 <br />Printed Name&Address <br />,' �; <br />Si na re <br />h tfi�1 <br />r�.� f) tl n <br />S <br />Printed Name & Address <br />Signature <br />t e. c <br />Prin a Name & Add y ss <br />Signa re <br />ac.� <br />12�'j <br />I�{c <br />I�x <br />Prin dName&Address Signature <br />�Ll V-1 d d1 'n 1 ili - Ve 3 -Z O-C, S lei-) y{Fa , <br />Printed Narbe &Address <br />AKa'.�" g, <br />Printed Name &Address <br />�]Its:�I�l Itrf�I �D Y <br />Name&Address <br />:ZTN0 <br />Printed Name & Address <br />�r 1 <br />Printed Name & Address <br />Signal re <br />re <br />Date <br />12. �2 <br />Date <br />Date <br />1Z-ZZ <br />Date <br />Date <br />Date fol <br />Date <br />7 <br />Date <br />Date <br />Date <br />Date �� r <br />Dat <br />Date <br />Date <br />Signature f Date <br />Signature V ba�te <br />