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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): e�� '��S�Tr-�' 14dz:�74L&z_ <br />Proposed Location(s): 01:W6- -s <br />t- <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSE ONORARY <br />SIGN OR FEATURHE, I <br />Name b Address at Date Age <br />Name a Address 4 Signature Date Ag <br />Printed Name & Addt mature Date r'Age <br />?anted Name & Address - — 5 anatute <br />L3 L -X i- .TJ•'o A..l; O'Z2-14 / g C:' &V;) ,L/� /sue <br />Date <br />'/ & 1, <br />Age <br />Printed .Name & Aedress — Signature <br />Date <br />Age <br />Pr,nted Name & Address Signature <br />Date <br />r,ga <br />�� <br />Name Address Signat r, <br />Date <br />Age <br />LA14 <br />1-0 1--5 <br />35 <br />pPriam&ross • 5 nan:re <br />A 0 1 <br />Ate <br />"ge <br />r,nted Name & Address 5 raPura Date Age <br />Pan: ?Name & :; �r`55 $igriatur- <br />Date <br />Ag / rn <br />P r;f i'ed t n drt-s5 <br />a �I <br />A.. <br />f . / 1 ../1 <br />11 f'77 <br />g <br />Adaress <br />Name & addresses <br />Li w "k.. k t t U-1 � ') 3 l <br />Printed Name & .4, e, s - <br />C, _ _X,- <br />Printed <br />tt.. C; <br />Printed Name & address <br />{'ry �W—)l Pvt 4Z <br />,griature Date Age <br />5�g tub Date Age <br />7 <br />:ynatu Date Age l <br />It <br />Signature Date Age <br />1V1c6 n z z; 1C Z r &r zG k R, l t. le f h 4/ra /a�3 Z <br />?anted Name & Address Signature V Date Age <br />Imo- e e✓� it e,Sol-so fwA4so <br />�'r'nteName & Addres rd <br />Signature Age <br />Page '� of [ (0 <br />