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Special Event - Neighborhood Block Party - June 17
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Special Event - Neighborhood Block Party - June 17
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4/14/2025 3:35:18 PM
Creation date
5/23/2023 3:07:15 PM
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Board of Public Works
Document Type
Recommendations
Document Date
5/23/2023
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• <br />• <br />Neighbor Signature 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 />from to <br />Street Name Cross Street Cross Street <br />Date of Event: <br />1. <br />Signature <br />- <br />< <br />6. <br />Signature <br />Name <br />i a�.f ^ <br />NQ (J <br />Name <br />C <br />Address <br />DI q C 1 <br />Address <br />Ols 5. <br />Phone No. <br />�Y 3� p/ < <br />Y l IlP! <br />Phone No. <br />-4 d 437 <br />Date <br />N� L <br />Date <br />a <br />z <br />Signature <br />7. <br />Signature <br />Name <br />Name <br />, <br />Address <br />6 9 5 /_ <br />7' <br />Address <br />Phone No. <br />Phone No. <br />, g <br />Date <br />y a � <br />Date <br />3. <br />Signature <br />B. <br />Signature <br />Name <br />Name <br />w d <br />Address <br />S� <br />Address <br />11bf 3 t4 <br />Phone No. <br />J / 7 �/ �2 i �dry0 <br />J D li U <br />J 7 J/t <br />Phone No. <br />/71 5 %S- 9619 <br />J <br />Date <br />f- <br />Date <br />4. <br />Signature <br />/. _ �,,/j <br />9• <br />Signature <br />GHQ <br />Name <br />Name <br />OBBl&- z,;Ijtj <br />Address <br />' O <br />Address <br />Phone No. <br />�!' vL C1�S <br />Phone No. <br />s?y-J�r���39n� <br />/ <br />Date <br />Date <br />�J <br />i-zq-Z3 <br />5. <br />Signature <br />/ <br />10. <br />Signature <br />Name <br />/l, <br />FT ,W't <br />Name <br />(t <br />VufCI , du <br />Address <br />�/7 SD 3! y,-�.. <br />Address <br />lvv G <br />Phone No. <br />C-/ 4 ,�-0'Z—/7$i7 <br />�'f l <br />/3 v <br />Phone No. <br />�t/ 325-5gO5 <br />7� -G <br />Date <br />7 t4 Z �Z <br />-4 <br />Date <br />
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