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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 />,. <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 Re u t Name (Sign should read): - �` D A—� r <br />Proposed Location: 5.■ t- 5t t] l �' i S�Q't' f-E <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Printed Na a&Address <br />4 <br />(Z 1,2 S , M- 4 �d� S�, <br />5ignatue <br />Svuf� `� <br />Date <br />Pr-22, ZL <br />PrInt d Name &AddressS <br />Signature <br />Date <br />Printed Name &Address <br />Printed Name & Address <br />Jo k., &V, <br />M : c -01-C Ih { <br />Pr' ed Name & re <br />ss <br />e � <br />Printed Name& Address <br />Printed Name &Address <br />Page of <br />_ Date <br />Date <br />�- 2,2 'Z'Z— <br />Date <br />as C�) <br />Date <br />Date <br />Date <br />(1.-77,-77 <br />uaie <br />•cry <br />Date <br />t' <br />Date <br />