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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 />y <br />JJ�i 227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): �C —bUT�� 14e) j4Lr2'-- <br />Proposed Location(s): <br />45i rV,'9 t, L ``xi4�&-V <br />AS A RESIDENT OF THE CITY <br />OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />PfThted�Name & Address <br />Signature <br />_ Date <br />Age <br />Printer! Name & Address <br />rV4/ <br />Signa <br />Date <br />Age <br />S 3 <br />Pr nted Name & Address <br />Si na re <br />Date <br />Age <br />Printed Name & Address <br />Signature <br />S LC <br />Date Age <br />¢ /(, ? ) <br />, ffi <br />Printed Name & Add r Signature <br />Date <br />Age <br />% <br />*anted Name & Addr{eess�, <br />7 �[{ r`r t1 Si attire <br />Date <br />Age <br />i! <br />Printed Name & Address <br />-rn . Gam? w <br />S. na <br />`�"� - <br />Date <br />`t 1,a z3 <br />Age <br />6-3 <br />Printed Name & Address Si tune <br />Date <br />Age[ <br />Aa <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />Printed Name & Address <br />i n <br />ate _ <br />Age <br />*J" <br />° I 0 0 <br />Prin ame & Addreess <br />f <br />%%��,,��• ll��77 Signa re <br />L!V I C C <br />r7 <br />Print me & Address Signature <br />Aa <br />Ag <br />Lj <br />Printa & A ress <br />'sg ture <br />Date <br />Age <br />Printed Name & Address It <br />+1Lc� <br />Signature <br />Io b 3n Cc 1 rJ <br />Date <br />Age <br />o <br />° inted Nam &Address <br />Signature <br />Date <br />4®� <br />Age <br />'�-j 2 <br />Printed Name & Address <br />Sits atu <br />Date <br />Age <br />�, Z� 7 <br />-� co <br />Printed Name & Address <br />SignarM <br />D to <br />Age <br />r <br />Printed Narrifi & Address <br />Signature <br />Dar_` <br />Age <br />