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;L=.,•,{�. 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 />A.< 227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend, IN 46601 <br />i:Jt•: , <br />Honorary Sign Request Name (Sign should read): 4 E� I A- IA) Vkoz�' "-Vo fc-ti LL6p- <br />Proposed Location(s): L7:: t DLI 0E <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. ._, <br />Panted N�ame&Add re <br />r i 1 Cry rq�hf--���i <br />gn <br />Date <br />Age <br />Printed -Name & Address <br />cim I r�Id� 1 / Z- <br />Prin c'd Name & /Address <br />i ( , <br />Printed Name & Address <br />--I, <br />I : 1'10 <br />Printed Name & Address <br />Prrininted Name & Address <br />'�`._ <br />Pted Name & Address <br />• �. Y lr� <br />Printed Name & A ress <br />Ph Name Address r <br />Printed Name & Address <br />� % <br />Printed Name & Address <br />wn-Eo'+ Ave- <br />b G <br />X, h <br />,fob w. <br />i El;o L YA h <br />I(— <br />1 <br />ignature <br />k 4/1A <br />[e Age <br />�z1�3 5J <br />dat <br />Age <br />Q 23 <br />'66( <br />Date <br />Age <br />Dd <br />Age <br />at <br />Aae <br />I� 2 <br />Date Age <br />f 2S <br />Date Age <br />MOLIIA <br />rz V2-7 <br />IZ-V <br />e <br />Age <br />iL'Uz-3 <br />SZ <br />Dat <br />Age <br />5112 i Z3 <br />zYO <br />Pate , <br />Age <br />S/iz <br />Printed Name & Address <br />ignaturC <br />Datt <br />go <br />Printed Name & Address <br />Signature <br />d Ld <br />Age <br />S�k <br />aaa S� 0 <br />sf z = <br />-?o <br />Printed Name & Address r <br />Signature <br />Dat& <br />Age <br />ko <br />SAL <br />Printed Name & Address <br />palUN: <br />Date <br />Age <br />Prrntt MNa& Address <br />f_ <br />5ign <br />Date <br />Age <br />f <br />5 S <br />f <br />3c. <br />Pn%,d Name & Addru <br />5igna re <br />Da : <br />Age <br />)Sirs2 <br />Z -zs <br />Irind N e Address <br />• If—sL <br />LO • P� <br />I Zb4 Pa`�� <br />:g urc <br />Date <br />Age <br />