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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 South Bend -Board of Public Works <br />227 W. Jefferson Boulevard, Ste . 1316 <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read)'-s:=,..A./~=t--\:::::::::r'----'t""-'-~~t-'-~::..i.--.....c..dl,,,--'le,..J.;...,>t.'........:...- <br />PropoSed Location( s): f.._)............,.__,_t-+-l~4b.L..4-l.A....:::L__::>f----6--<~-:l'-'-'"--'--'"""-l_:_-=::Y--'------ <br />AS A RESIDE NT OF THE CITY OF SOUTH BEND, INDI ANA, I SUPP <br />SIGN OR FEATURE . <br />_5; e..lA -:JD vU E ~ <br />Date Ag e <br />2, /'fJ :5---5- <br />Age <br />;5>-4 -;;J <br />Date <br />Printed Name & Add ress Signature Da t e Age <br />Pnnted Name & Address Signature Date Age <br />Pn nted Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pri nted Name & Address Signature Date Age <br />Page of