Laserfiche WebLink
PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />rx $moo PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />l' Cityof South Bend — Board of Public Works <br />•rks <br />227 W. Jefferson Boulevard, Ste. 1316 <br />IC <br />South Bend IN 46601 <br />Honorary Sign Request Name (Sign should read): c(i GH- <br />Proposed Location(s): r%� �L' �t L Vm)L <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />`h►M A,L 141- 2 12. ``r 1 2 I c �: � (�� S ,� � 0 d - uY-7 % L <br />Printed Name & Address D <br />:TA5 Lei< <br />ate <br />y A#'j� z <br />Age <br />Lit <br />Printed Name & Address <br />Date <br />Age <br />c- Z 4 r <br />! <br />y _ `! - <br />3,5 <br />Printed Name & Address Signature <br />y Mwv�c�-��arc kv; PI s z, <br />Date Age <br />Printed Name & Address Signature <br />Date <br />Age <br />Printed Name & Address Sig ture <br />Date <br />Age <br />,« 5. kb1 <br />a3 <br />)2 <br />Printed Name & Addr <br />10 <br />Age <br />�Q <br />Printed Name l � ` r <br />WIDate <br />Age <br />Pri ted Name & Address <br />a <br />Age <br />Printed Name & Address Signature <br />Date <br />Age <br />Printed Name & Address Signature <br />G� Zrt r 1500 Lvf-I'ADA S'� - <br />Date <br />�7f Z <br />Age <br />6- <br />hPOntName & Address �` Signature <br />Date <br />�Age <br />�Ni ' ►i�� d� 5ig re <br />Da <br />Age <br />P -nted Name & Address a <br />t5c� Sal cto LEi> <br />Date <br />Age <br />jri�nled.lame & Address Signatu a <br />4n 4 �a <br />Date <br />z3 <br />Age <br />Pr'n d Nam & d r \ f � � Si <br />(J. <br />DDateAg 4� <br />� e <br />Pnnted Name &Address Si nature <br />e <br />Date <br />Age <br />�37 <br />7 a <br />Printed Rame & Address Signature <br />Pagel of <br />Date <br />Age <br />