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P pty�y 2oa3 <br />• <br />• <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: n <br />from to <br />Street me Cross Street 1 i /7 Cross Street/ <br />Date of Event: <br />1 Signature <br />flame <br />Address <br />Phone No. <br />Date <br />2 Signature <br />Name <br />Address <br />Phone No. <br />Date <br />3. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />4. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />S• Signature <br />Name <br />Address <br />Phone No. <br />Date <br />Signature <br />Name <br />Address <br />Phone No. <br />Date <br />7• Signature <br />Name <br />Address <br />Phone No. <br />Date <br />8. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />9. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />10. Signature <br />Name <br />Address <br />Phone No. <br />Date <br />