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0 <br />• <br />• <br />Neighbor Signature Sheet - Neighborhood Soecial Event <br />We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a <br />block party in the area described as: <br />MOO from Z01 //711W, �T to a�fY <br />treet Name Cross Street Cross Streef <br />Date of Event: L? 7—G <br />1. <br />Signature <br />( '' <br />6. <br />Signature <br />Name <br />J 6 5 <br />Name <br />Address <br />` � C ` �c�l�, 0 <br />Address <br />Phone No. <br />S� 7 3 (s 4/ � <br />Phone No. <br />Date <br />L/ �s '1' <br />1 <br />Date <br />Z. <br />Signature <br />^� G� <br />/ <br />7. <br />Signature <br />Name <br />Name <br />Address <br />f- <br />Address <br />Phone No. <br />.. r/ .1 .. QO� <br />7 /^ / <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />8• <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />5. <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />