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PETT'I-ION 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 />�mace <br />227 W. Jefferson Boulevard, Ste. 1316 <br />�~ South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): - Oty-VL- -i c 11,JIf*)0-� <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIP OR FEATURE <br />Printed Name & Address Signatur- <br />Printed Name & Address <br />&I,n,& <br />Signature <br />(P-1 �Q SR,vers, d,� d� ApS-� ��� <br />JDate <br />5 �� <br />Age <br />( o <br />Printed Ame & Address <br />yy-0/14 <br />Signature <br />Pcc l���C► �a <br />Date Age <br />'� s ^ Dc <br />yt a l—�� S� 1 <br />S_h <br />Print Name &,Add ss <br />Signature <br />Date <br />Age <br />Z <br />Printed Name ddress <br />Signature <br />Date <br />Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Addre:.s Signature Date Age <br />Printed Name & Ade -ess Signature Date Age <br />Printed Name & Ac dress Signature Date Age <br />Printed Name & F ddress Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name Address Signature Date Age <br />Page jig of / i' <br />