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,t ;,3 PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />Z.i <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 />r. <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): f �vX� ► x�J�� <br />AS A RESIDENT OFTHE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE, <br />� 6 <br />JS 4 es )56,5 rV :ors st 'tN2-o <br />Prate;.' Name J�Address �X Sig[] wr/e� ! Age <br />Prated Name & Address Sign tore Date Age <br />wry Z-)G� IQ[ddlGrs t�rr� S� /3 �ti T-N tIC&M <br />Prrnt Man —.ES dr Signal. Date Age <br />......� � Sao �,.-�� %• ��3 <br />?.!r.red %- ..:: & Age <br />4;-ra <br />Prated h8tttz k; n3drL5 5 gna re Ag <br />e <br />:� ^:ame & Address SignaturL y[Dc' r <br />Prated fume & dcress S4riawraV Date Age <br />Printed Name & Address 5:onaturr Date 10, Age <br />a •: Name 4 Address q <br />Z� ( 1�LIjC� A T 9na / Ab 2— <br />°rimed Nam = S .._.i: - - - ;r.. pay Age <br />Cl <br />?r Z <br />;1 �e & AddressDate <br />Age <br />c ��) 1\31 k,44- /VUj <br />Prrze"d Name & Address S;::...-c Date Age <br />ra l�1� <br />--- - <br />?r:nted Name & A3urc�ss ; :;C <br />Date Age <br />m <br />� Z <br />:e } y dfe`; ti gz�ature e Dd Age <br />Tal (4rl a P0+0�a <br />�r.:tea N. & Address f S,gnDate Age <br />Address `—`-- — - - �� <br />Sigra[ure aty Age <br />?anted Name& Address Sgnature Date Age <br />UL <br />?r:nted Name & Address Ssgrature Date Age <br />Page of 1 �- <br />