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• <br />• <br />�J <br />Neighbor Siomture Sheet - Neighborhood Special 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 />,� ' <br />bovur :J� from ��JY 1y` to A41 I Jk,6 ..� <br />Street Name Cross Street Cross Street <br />Date of Event: J <br />L L11 / av a3 <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />/ S <br />Name!ai <br />Address <br />O�Y s <br />Address <br />�0110 0, <br />�E\ <br />Phone No. <br />�1i O <br />�_ 77 <br />Phone No. <br />/L <br />Date <br />Date <br />Z• <br />Signature <br />7• <br />Signature <br />Name <br />Name <br />N�•�e c�-5 <br />Address <br />G c ICirc • <br />Address <br />Phone No. <br />T f - ^ 6 t / � I <br />l� <br />Phone No. <br />S � � �� -7 <br />Date <br />�1 (1 <br />ZG� <br />Date <br />3. <br />Signature <br />/' <br />B. <br />Signature <br />Name <br />Name <br />I/ (j(- <br />Address <br />I C lUv el <br />Address <br />l /�� 7 0 . _ <br />Phone No. <br />57 4 33U _ l c o 1 <br />l i <br />Phone No. <br />,4 -Fl <br />Il <br />Date <br />/I <br />I <br />Date <br />y _ y. _ <br />4• <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />L <br />Address <br />j Q l I Q �. <br />1 1 <br />Phone No. <br />Phone No. <br />Date <br />-3 <br />Date <br />S• <br />Signature <br />i12 <br />\\_ <br />10• <br />Signature <br />Name <br />n <br />-�a <br />Name <br />K j11L <br />Address <br />' Q n n 1 <br />l� l�� <br />Address <br />I c' 1 <br />Phone No. <br />-I <br />I <br />Phone No. <br />Date <br />LA_ � ' � <br />Date <br />S <br />J <br />