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zz�1_ PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN AND OTHER <br />HONORARY FEATURE WITHI N 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): "' Lam( <br />Proposed Location: .b rT <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. el-_11-� � V �V <br />L 0 0 � <br />Printed Name dress s� G ignature Date <br />a_.C�,rnl�I +� <br />Printed Name & Address Signatufe — " Date <br />Printed Name & <br />Print Name <br />Printed N;Me <br />-23-2a2 Z <br />Date <br />f� Date <br />W r �- <br />Date <br />9 -.2q -22 <br />V <br />Dat 3 <br />Printed Na_mee&&]Addreess <br />+ r sign <br />— <br />uate <br />Printed Name & Address <br />Signature <br />D <br />- <br />Print 8 e & dress <br />Sign t <br />Date <br />Printed Name & Address <br />Signature <br />Date <br />Printed Name & Address <br />Page of <br />1r,11d LUI C <br />