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• <br />• <br />Neighbor Signature Sheet - Neighborhood Special Event <br />We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a <br />block party in the area described as: <br />from to <br />Street Name Cross Street Cross Street <br />Date of Event: <br />1. <br />Signature <br />1 �, �Q <br />pD <br />6. <br />Signature <br />Name <br />��l�ic{ J(lUa./2Z <br />Name <br />��1Ay0(�1THOM!./1 <br />Address <br />3� I �Gtbt r b` �ii►/� <br />Address <br />rf C b, I <br />Phone No. <br />�' � y <br />Phone No. <br />5-7 Lf -7,0 J? —JV Z7 <br />Date <br />{a� <br />Date <br />b` rl 6/ r <br />O_ Oj <br />2• <br />Signature <br />- <br />7• <br />Signature <br />Name <br />V1I q <br />Name <br />Address <br />Address <br />1 <br />Phone No.JS'32—SZO <br />2 <br />Phone No. <br />�'7i A L� 6 5 <br />/ i L <br />Date <br />_ Z a Z <br />Date <br />3. <br />Signature <br />%/ . <br />(�- <br />8• <br />Signature <br />Name <br />d <br />Name <br />Address <br />E �t�v <br />Address <br />Z. <br />Phone No. <br />fS3Z—SZOZ <br />Phone No. <br />Date <br />_ _ �Z3 <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />TZISI <br />Address <br />Phone No. <br />(5-��, rYG i 1 <br />1rf <br />Phone No. <br />Date <br />I �� <br />Date <br />S• <br />Signature <br />10• <br />Signature <br />Name <br />Name <br />Address <br />�� \ y1 <br />Address <br />Phone No. <br />�`� ,Z� Z - <br />Phone No. <br />Date <br />Date <br />�Ve <br />