Special Event - Pop-Up Event - August 5

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• • • Neighbor Signature Sheet - Ne hborhood�al Event We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a block party in the area described as: from to Street Name Cross Street Cross Street Date of Event: 1 Signature 6. Signature Name Varti{ Name Address Phone No. T-iLCti Address Phone No. Date Date 2. Signature 7. Signature Name Name Address Address Phone No. Phone No. Date Date 3. Signature 8. Signature Name Name Address Address Phone No. Phone No. Date Date 4, Signature __.-- 9. Signature ---- -.__.-_--_----_ Name Name Address Address Phone No. Phone No. Date Date 5. Signature 10. Signature Name Name Address Address Phone No. Phone No. Date Date