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11 <br />C <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 />&k&/- from [ ` to 464 Al <br />Street Name Cross Street Cross Street <br />Date of Event: , /i i iAn V1 aoa y <br />VJ�' �C., <br />1. <br />Signature <br />- � <br />i . <br />6. <br />Signature <br />g <br />Name <br />Name <br />Address <br />10 /d���� <br />Address <br />Phone W. <br />l/ �j �1-s <br />Phone W. <br />Date <br />i <br />2. <br />Signature <br />/J <br />L <br />7. <br />Signature <br />Name <br />r' <br />Name <br />Address <br />�/ CI /nv� //j <br />U <br />Address <br />Phone No. <br />JL _ <br />Phone No. <br />Date <br />_ 7 y <br />L <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 />Phi No <br />Date <br />Date <br />5. <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 />