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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />PUBUC RIGHT-OF-WAY OR ON PUBUC PROPERTY <br />City of Sou t h Bend -Board of Publi c Works <br />227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend , IN 46601 <br />A S A RESIDEN T OF THE CITY OF SO UTH BE N D, INDIANA, I SUPP~HE PROPOSED HONORA RY <br />SIGN OR FEATURE. ~ rC [ieJ.G ).£8 ~3l>l"',f'./ ~ ~ g-l -:Jr Sl <br />~Printed Name & Address • n e Date Age <br />• 1 -~ J ( {3 <br />Age <br />Date Age <br />Date <br />d Name &Addr <br />r /U <br />., ,2 1y >1 1 ~;;i-, c< 1-5i1'1J1 7 &~+ .-·<. eVU,J r:/ 3 "'Z. ..o y t ·7 <br />1 S1gnatur e I Age . <br />~3 N\l)J ~ ·'>b'{, ·7 L/ <br />d Name & Address Signature Date Age <br />i 227 <br />Plte <br />, nc C{ <br />Printed Name & Address <br />.J Ct ~ I t ·/ \ ( -I ( ' ,-<) ..., <br />Pri nted Name & Add ress Date Age <br />Pag e of