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H� 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 />~w.227 W. Jefferson Boulevard, Ste.1316 <br />x <br />South Bend, IN 46601 <br />Honorary Signor Feature Request Name (Sign should read): 1) -n or - <br />Proposed Location: <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT TFIER POSED HONORARY <br />SIGN OR FEATURE. <br />Printed Name & Address Signature Date <br />[at r- e r- S �; s �r "t u ( r a w. <br />Printed Name&Address i Signature ,/ r-- Date <br />09 <br />Printed Name & Address <br />Printed Name & Address ' <br />" Signal,re n1p <br />�JJ�11Siign�l�Lature <br />ateV <br />�7 r�'Print <br />,�L/J <br />d rn &Address <br />(CO(o) z5e7 -- 7 '7 (2 <br />Date2 <br />/ � 2- <br />PrintpdNa e&Addr s <br />Signature �—MyDate <br />Printed Name &Address <br />r S' ature <br />02 pros 61r/ 1 ((J l <br />e <br />�221'; z� <br />Prints Name&Address <br />nfan bogy® <br />Signature <br />3 h G�V(�� (C�� <br />Dat <br />Zzl <br />Printpd-Na me & Addre <br />I" ylelr OA0 <br />r <br />To-t) <br />D to <br />�2 z 2 <br />Printed Name & Address <br />V Si nature Date <br />Printed Name&Address <br />Y elk0S <br />(r, [,q Signature,/ <br />V00 l�` SVf ll�l� <br />Dat <br />Printed Name &LLAddressss <br />kVO <br />jj _ f %� ] Signature <br />too J�F.(l�Q�+� I I/l l � <br />Date <br />k <br />Printed Name&Address <br />Page of <br />Date <br />