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)L{~ <br />v\~\\Ol <br />PE11110N OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />PUBUC RIGHT-OF-WAY OR ON PUBUC PROPERTY <br />City of South Bend -Board of Public Works <br />227 W. Jefferson Boulevard, Ste . 1316 <br />South Bend, IN 46601 <br />Honorary Sign Request Name ( Sign shout d read) "'-=..4;!-llf"=:::+-\=-'--¥....l,!-L-'4,,.Lf---J....l!..--=---c..-~-'rf-r'--'-- <br />Proposed Location( s): -'tf-.._}..L-.:....,_,1+-1+>--'-l:-hL+-'-"-"'---L----'~-~:c...+..p.:...J~~----'-.,__",,,L--.__ ___ _ <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE . <br />~w/'Qvs,JJ .&'12.. ~/) 3 t._-y'l(fc;J,i,t;i <br />Printed Na me & Add ress ;1 : / .,,; <br />L vft11 s l f__ o ~ A /7)) r7 I ~ S"o I (; "-I <br />p <br />-~~.llS..._.!.L&!J.JQµ::L....i:t..k'..ia..~~~"J..!f..!:::J.~~Ul!...____iJ~JJi.,.L:.~~~__:::.L~~--=fo~5_ <br />Age <br />4 {);.)~ <br />Pnnted <br />r----5=-:....:+ ~'-.1....!....l~~-=--L:....:...l...:::::...:---l...=--.:~~~~.,__,,___--=---'-'----'-"--=-"'-'-'--"'~~____._._-=-------'"-"---+-- <br />Pri nted <br />r----~-~.:........:..___,_ __ "-'=C--L:::=.--=----"--------'-'---'-'C.,.......------~---"--'= ......... ---=='------'--S ........ '3_ <br />Print <br />\)e. o ~~ <br />l?rin ted Name & A ress <br />zs \.oJo..h <br />Prin ted Name & Address <br />3s) _w . <br />Sign~ Date <br />IJ-l'.j w . 0-lAlhnJv]o~ <br />Signature Date <br />Page of <br />AS; <br />Ar <br />Lt~ <br />Age