Laserfiche WebLink
F y� <br />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 />South Bend, IN 46601 <br />Honorary Signor Feature R u st Name (Sign should read): <br />Proposed Location: � S-f ]CJ-- } <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />S N OR.AF]�=ATURE. <br />tint Name&Address <br />at ate <br />I 7 4C) li 1 a2 <br />Printed Name&Address (s1 5 re ❑a <br />fe <br />P ' ted rs Name& dress s Singn re Dale <br />s �t a� <br />Printed Name &Address /�rr <br />a�aSignal a `l ate <br />U '5C,71pV ule • 1/- 3D —Z z <br />4 — <br />Printed Name&Address $7ateL"�C—+ i <br />re <br />tw(a WC Amt- N'ku vPrxru h/-&/y d A-1 <br />Printed Name&Address <br />` ( �5 nature <br />Date <br />laPrinted <br />Name & Address <br />7� <br />cam!YO <br />t-30 Q oar <br />Printed ame&Address <br />So vI14 3 L aD/N Sig <br />Date <br />or Sr gbleZ.6 <br />//-3(7-ZZ <br />Printed Name& Address <br />$ n e <br />Ile, SOo /�1/ <br />at <br />Print Name&Address <br />Signature <br />Date <br />/ <br />Printed Name & Address <br />Signature <br />at <br />Printed Name & Address <br />dt �[ <br />� !�" �D� <br />2UIAI. <br />Date <br />(lC� <br />Printe Name&Address <br />Signature <br />t:�j,% Date <br />P d e&A d� <br />'Sign�.� <br />Date <br />-- <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 />Page of <br />