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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE . PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />=''' City of South Bend — Board of Public Works <br />Eh= 227 W. Jefferson Boulevard, Ste. 1316 <br />`x South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): 0 4111 -qLYNb <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SU PPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Printed Name & Address Signature Da` Age <br />a` <br />Printed Name ess (� ( , Signature to Ate <br />r )V� 471 Z) <br />Printed Name & Address ! Signature ❑ Date Age <br />Printed Name & Address <br />Printed `m&e Address <br />Jf- (-G Gas- l o <br />Printed Name & Address <br />f71'{bV jd5 iT v&s <br />z <br />1910 St R f t i <br />11 1 1 <br />Pri Name & a <br />14 <br />Printed Name & Address <br />ffiau'n Ce- <br />f IflAn�el �f��8 u 1e pr <br />Printed Name & Address <br />Prin'red-NiWe & Address <br />} <br />V V.] (A/ I <br />Printed Name & Address <br />f <br />Printed Name & Add <br />2j S <br />Printed Name & Ad ress <br />a,le-5 <br />Or W3 [A/ Co( <br />Printed Name & Address <br />Nfited Name & Address <br />Printed Name & Address <br />'-tv I k <br />e & Address <br />P225AZ/V <br />E� Paget( of <br />,giViature <br />Signature <br />Signature <br />Signature <br />N4�1 Y' <br />Age <br />``Date <br />q —1 0 <br />I <br />Date <br />Age <br />-4-W <br />00 <br />Date <br />q-i6 <br />Age <br />33 <br />D to <br />Age <br />Date <br />Acip <br />1- ( ? 3 <br />Z. <br />Date <br />Age <br />Date <br />Age <br />Date Age <br />-10 3 <br />Date Age <br />-(a :5( <br />Date Age <br />Zl '� <br />Date Age <br />vl l b j <br />ate Age <br />3 Ir7 <br />