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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): �"i rr�L�(—f�dL r-x <br />Proposed Location(s): D I j: Y. <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, ISUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />LPriinted Z� �� N �� � G-1-IName & Address Sign e Date Age f <br />` <br />rated N e &Aqdrgss <br />k 2, <br />S{i�gjra re <br />Date Age <br />r ted �ame_& Address <br />�--ey, ��tS ��c►s�� <br />Signature <br />Date Age <br />Printed Nam & Address 7 <br />ignature <br />Date Age <br />j <br />IYl <br />Printed Name Address <br />SiVnatu Date Age <br />Printed Namrre& Address <br />Signs re <br />Date Age � f <br />Print Name & Address U <br />Signs urn <br />Date Age <br />�p 0� ue C7re <br />3 ? �T- <br />Printed Name & Address <br />tAi� � l3 3 LI Vu(_,_ <br />Signature <br />-� �-- <br />Date Age <br />�/� o /z Ile <br />Pr' Name & Add ss <br />ql.n <br />Signature <br />Date Age <br />. <br />Pr' tcd Name & Address <br />t C i ML SI <br />Se ature <br />Signature <br />Date Age <br />—/r)i-', <br />P, inted mg Address <br />S- lature <br />Date <br />Printed Name & Address <br />5ia <br />b to Age <br />tt <br />PrintadName dress <br />5gcp &t <br />signatur <br />Date Age <br />y Y_' <br />Printed Name &Address <br />'g atur <br />Date Age <br />Pager -of <br />