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t r 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): <br />Proposed Location(s): CAL--� V(:� �- LV,,(rSC1-4 <br />AS RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, ISUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Ste-(_C_ S Ll tl � 7 R,( <br />Z- 3 <br />,_ 2 0 <br />Pri led ame Address Sig .re <br />M- <br />date r f <br />1 <br />n'T Vame & Adt a$s <br />(LVV <br />signature <br />D e <br />Pled Siam= Address <br />y <br />Sign(, <br />Dtg� Z <br />CC— <br />Printed Name & Address <br />Signa <br />Date Age <br />l�z- <br />;Priin' S Nie & Address <br />�� e <br />Sign r <br />to Age <br />ba12� <br />Printed Name &• dd ess <br />lure <br />Date Age <br />Printed Name & Address <br />VurC <br />ate Age <br />Printed Name & Add Q 2Z <br />E <br />Signa a <br />Date Age <br />'�I-ayg <br />Prints Name & Add,7" <br />Signa <br />Date Age <br />Printed Naze & A res <br />s �aIS ��S <br />i at e <br />Date Age <br />- .la S <br />94�� <br />nai re <br />Date Age <br />Printed.Name & Addr <br />Signature <br />Date Age <br />r' elf Name & Ad <br />Snatyrip <br />r Date Age <br />ature <br />Age <br />Print e & <br />Signature <br />Date <br />Age <br />O <br />Printed Name & Address <br />(4�Vr tj I� 4 "' n 9 <br />G/ �} Signature <br />�e"A �'r�e /i- '2-� <br />Date <br />V t i y <br />Age <br />C 3 l1() <br />Printed Name & Address <br />Signature <br />D e <br />Age <br />gr <br />Printed Name & Address <br />'— Signature <br />Date <br />Age <br />Page /9of ��" <br />