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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 />neaCY r'z� 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 st Name (Sign should read): <br />Proposed Location: <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED <br />SIGN OR FEATU E. <br />V �10 �) ICl B .' <br />vow AV- Prin N me & Address�� <br />ryry Srgn ture Date <br />i CC y�� cZ-i �'C1rC .d k J1 /,5 L <br />Printed Name&Address 4 C i _S �'� <br />Printed Name & Address <br />►u 'C ^ r <br />Printed Name &Address <br />1 1V <br />°rinted ae & Address <br />jj <br />yamme&Address <br />cap <br />�rfnted Name &Address <br />Name &Addre <br />lr1 i2 /� G%ia / lJ <br />ame & ddres <br />Prmte Name&Address <br />}Ye 1 SZ3�}alvl Ill Pbr-\d <br />PintedName&A dr s <br />l� cla r���o �c�r <br />Pr' ted ame & Address <br />11 eta 111 <br />Print Name&Ad e s <br />Printed Name & Address <br />N <br />Printed Name &Address <br />Printed Name & Address <br />h <br />Page of <br />Y <br />Signature <br />Signa' ture&% <br />Signature ` <br />Signature <br />�• - q: 544 <br />Signature <br />\,y"r COI <br />Signature <br />f <br />0 <br />K, <br />Date <br />- - - -'4 <br />Date <br />":_7-F<? <br />Date y <br />Date <br />Date <br />C.... r <br />e <br />Pate <br />Date <br />Date <br />Date <br />