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• <br />• <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 />IZIV 5I from NDSeiS to V19P Y KCt-3T <br />Street Name Cross Street Cross Street <br />Date of Event: 7 tj —,Z3 <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />�CjAJ,4r)Ak&j I�SUO-tt 6 t <br />Name <br />Address <br />7UAl, <br />Als� �k � <br />Address <br />J <br />Phone No. <br />l{ _ I S , I <br />I <br />Phone No. <br />Js <br />t�3 <br />Date <br />_ 7 `O <br />(/ <br />Date <br />7S� p�0 <br />7Y <br />Z <br />Signature <br />7. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />f 0 Y <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />Name <br />i1 /.`%/ (L %• <br />B. <br />Signature <br />Name <br />Address <br />7f4eI''i <br />Address <br />Phone No. <br />S %� -t r S _ S <br />J! 1 <br />Phone No. <br />Date <br />z Z3 <br />Date <br />4. <br />Signature <br />X <br />9. <br />Signature <br />Name <br />DO\ d 1 A eil jLIM - <br />Name <br />Address <br />1 l 7) IL, I^ r 4. <br />Address <br />Phone No. <br />/ l y- "\ J 4 <br />`� <br />Phone No. <br />Date <br />. _ 3 <br />Date <br />5. <br />Signature <br />�/J_ t� G <br />10- <br />Signature <br />Name <br />(1 fC e M Q <br />Name <br />Address <br />'� / ti A cf yn/ <br />Address <br />Phone No. <br />7 �. �(/ /. �„cY�C pL <br />Phone No. <br />Date <br />5 a 3 <br />Date <br />i <br />R <br />