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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN AND OTHER <br />HONORARY FEATURE WITHIN THE <br />PUBLIC RIGHT-OF-WAY <br />OR ON PUBLIC <br />- PROPERTY <br />s r=•.�� = City of South Bend - Board of Public Works <br />= 227 W. Jefferson Boulevard, Ste. 1316 <br />�� � k <br />" South Bend, IN 46601 <br />Honorary Sign or Feature Request Name (Sign should read): - <br />6 `� D <br />Proposed Location: 'f-01\� ' r- <br />S�v�r(—� <br />Sec n)-O <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />/K '�� ! W Sti !� <br />9 " <br />Printed Name & • dr ss <br />S' nature <br />Date <br />Pri edName&Addy ss <br />s ;7 q <br />j aturc <br />144 <br />ate <br />Printed Nam�e&Addresss <br />7 <br />5igna�ure <br />r I <br />ate <br />ZZ <br />Printed Name & Address <br />Signature <br />L <br />Date <br />Printed Name & Address <br />r t a pv, <br />Sign ure <br />Date <br />�i- z- Z, <br />nted Name&Ad ress <br />jai <br />nature <br />Date <br />nm' <br />Printedr <br />f �&�ddY I Lf l�C l/�� <br />ri edName&Address 4 <br />Signa re <br />Date <br />Printed Na &Address <br />t re <br />ate <br />Pr Name&oA ress <br />Signature <br />Dat <br />dName&Ad ress <br />j Q U (lv rl �3j <br />ignat r <br />Printed Name & Address <br />6/1� I as �� I �,r <br />S. nature <br />r <br />to <br />/') z, <br />1'ell e <br />Prin� mame &Address /C / s <br />5i ure <br />��Datq Ij, <br />Print ame &Ad r ss r <br />gnatur <br />4 <br />Date <br />Pri ed Name Addr <br />0A 4 v <br />5ignat a <br />Date <br />Pri ee&Address /� An ( _ <br />-ieA <br />i nature <br />t]at���/ <br />Printed Name &Address <br />Signature <br />D to <br />Page of <br />