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0 <br />r1 <br />U <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 7C)(r cl� 11 ZL,71 to <br />Street Name Cross Street Cross Street <br />p'� <br />Date of Event: 9/y���� L? <br />/ 'N J l / <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />a,/ITn �u J <br />Name <br />r j <br />Address <br />C - Ar <br />O <br />Address <br />� <br />L--, <br />Phone No. <br />3 y. -.? � � <br />Phone No. <br />-3 v-o <br />Date <br />Date <br />2. <br />Signature <br />y <br />Signature <br />Name <br />I L � �I� �� <br />Name <br />Address <br />'SZ7 F / 1 f <br />Address <br />Phone No. <br />CS7��ZZO—Z3Z5— <br />Phone No. <br />�addai/�C'0-7�r <br />Date <br />7 17 ( / 2 <br />Date <br />--7 /a / 3 <br />3. <br />Signature <br />^ <br />9. <br />Signature <br />tit <br />Name <br />z <br />Name <br />�L�1 KkorJ <br />Address <br />Address <br />�C�a� r Cac Fax ACE <br />Phone No. <br />r <br />Phone No. <br />s7 - a ho 9 & 73 <br />Date <br />-7 h <br />v` <br />Date <br />a 7 a <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />0 <br />Address <br />Phone No. <br />- p� 7� <br />TJ <br />Phone No. <br />/��1 G�7)� i f I�a�-rj <br />� <br />Date <br />�? <br />Date <br />2-33 <br />S. <br />Signature <br />10. <br />Signature <br />Name <br />I ' . QQ <br />jl� fd(A tJ <br />Name <br />Rtis Y l <br />Address <br />s b /� <br />Address <br />I r C O <br />Phone No. <br />g '?)J <br />C�3- <br />U <br />IQ <br />Phone No. <br />1 <br />Date <br />-7 /].A <br />!�3 <br />Date <br />/ <br />