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11 <br />a <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 />W "J {- from o ' r to <br />Street Name /JL Cross Street Cross Street <br />Date of Event: <br />2r 3 <br />O� A <br />1. <br />Signature <br />6• <br />Signature <br />Name <br />/_ <br />Name <br />Address <br />O <br />Address <br />Phone No. <br />! <br />Phone No. <br />Date <br />/O <br />Date <br />2. <br />Signature <br />Signature <br />Name <br />��✓QS <br />Name <br />Address <br />/ 3 <br />Address <br />Phone No. <br />S ` O� G <br />o <br />Phone No. <br />Date <br />_ / _ <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 />