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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />City of South Bend — Board of Public Works <br />,�. ► •�; 227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend IN 46601 <br />Honorary,Sign Request Name (Sign should read): <br />Proposed Location(s): <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />D�n <br />Pri trd Name & Addres Si nature <br />& Address <br />Signature <br />Prim lame j& Cdress <br />Signature yD tte/ <br />Age <br />Prin Name & Address <br />Date <br />gnatur/ZZ <br />Age <br />�F <br />7U �a2 <br />_� - -70 _ <br />P n ed Name & ddrws <br />Sjonazzfe to <br />Age <br />p c o ✓1� l�i�`� L� Sa y -��-z� �{ <br />Printed Name & Address Signature Date Age <br />�inted Name & Address Signature Date LAge <br />1 <br />4+ �(� _ �C <br />Printed Name & Addrressss V1;y'71L'Q9r- <br />Dqka- <br />Age <br />'►[ ICke\j 1a l�10tPt�' q�2� �i�"�jotX3 a, > - <br />Printed Name &Address �J Vgnre /% Dail <br />Printed Name & Address Date Age <br />Printed Name & Address Si ature D to Age <br />Printed Name & Addres,, -2Z S' ature ate Age <br />CAP <br />D L)3 �'l <br />Printed Arne & Ad re ;s ig " Date Age <br />Printed Name & AddrE ss Sig ate I Age <br />Pr Name & Adr Ss _��� ! D [C� re a e <br />�iJ 40 <br />Printed Na Ad 'ss Signature Da Age <br />Printed Name & Ad� press t � � � :gnature Age <br />�2 <br />Prin Name & Ada, ess Signature bate Age <br />Page of )- <br />