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L I <br />L J <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 A ' <br />Street Name Cross Street /V N Cross C Street <br />Date of Event: <br />1. <br />Signature <br />-'—' <br />b. <br />Signature <br />Name <br />O <br />Name <br />Address <br />/ <br />Address <br />Phone No. <br />Phone No. <br />Date <br />6 23 �� <br />Date <br />2. <br />Signature <br />7. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />cSS <br />Phone No. <br />Date <br />/ <br />i <br />Date <br />3. <br />Signature <br />8. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />S• <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />I <br />Z ,, <br />3 <br />