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PETION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />�j. City of South Bend — Board of Public Works <br />;! 227 W. Jefferson Boulevard, Ste. 1316 <br />Y South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read):�wCr�v��¢ <br />Proposed Location(s): � (-F-- JW <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Z I sa , <br />R V/ N` %�%o 4, A G K I <br />j Ctt' S T <br />-' Y-�r��Gi <br />- Z 3 78 <br />Printed Name & Address <br />Si nature <br />/3p2 C6TrG FC�ioe �v[' <br />Date / Age <br />g j51 <br />rr <br />jJ/2g <br />Printed Name & Address <br />Signature <br />Date Age <br />dose ) LL;gde <br />14no <br />I r,c� -V LI�GIS <br />'�f151�330 <br />Printed Name & Address <br />I, j Signatures <br />to Age <br />Printed Name Address — Signature Date ` Age <br />�u.L �= arc q S- 23 3 q <br />Printed Name & Address 1 5 na Date Age <br />Printed Name & Address <br />Mve� N�a a n `f as <br />Signature <br />-}'ors �f� <br />Date <br />{ - _Z� <br />Age <br />2- <br />Rrinted Nam & Address <br />Signa <br />G/Cob 15 <br />Date <br />Age <br />Pri Name & Address <br />Signa a <br />Date <br />Age <br />PirinV Name & Address <br />Signature <br />Date <br />Agee <br />nted Name & Add ress ' Sig re <br />f [ �� �� Gordo'`I P1-'- UC 5GA i m 1(661jf- <br />C �i j <br />Date <br />y—S--.23 <br />Age <br />3— <br />Printed N me & Adrdr J <br />`] r I•I r.i �! CI►�..1 !ni 4 5 <br />Signature Date $._� e Age <br />12 4r�E Z1 �iJ �' Ci✓c� �5 <br />Printed Name &Address ^+� <br />rya <br />Date <br />Agee <br />Printed Name & Address <br />Ise <br />Sig ure <br />Date <br />Age <br />PrigtWBAme & Addr <br />C ZZ�M C.�.,1a3� <br />Signature Date <br />«D <br />Age <br />_ <br />Printed Name&Address <br />I J'L <br />Signature <br />Date <br />Age <br />�^ e' _ A <br />Printed Name & Add <br />Signature <br />Da <br />c2 <br />� Age <br />ed t'�A� h v C <- 5 � <br />F �r.�-rx� <br />L'/ % t u <br />/ Cc C7, <br />Printed Name&A dress <br />Signature <br />Date <br />Age <br />Printed Nzfme & Address Signar6re Date <br />Page3 of f <br />Age <br />