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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 -Bo ard of Publi c Works <br />227 W. Jefferson Boul eva rd, Ste . 13 16 <br />South Bend , IN 4 6601 <br />Honorary Sign Request Name (S;gn should read)"'-s=~'-¥+"=+--l::=:,.,_+-"':....i.....>._..t--1-.c........:;""-----"-lF-""'b-\l-r-.....:.....- <br />Proposed Location(s): -'lt-:,,;.}_.__.>..L.t+-~~~....i.,,.L.___.'--....,..---1e,.....::..-t,~~:::...+-...:.....;1:.......::,,L-1----- <br />OF THE CITY O F SOUT H BEND , INDIANA, I SUPPORTTHE PROPOS ED HONORARY <br />RE. <br />Age <br />Age <br />Signature <br />ate Age <br />;2 --,?-,l--z.r <br />~Co, S'. HCNJC Da te Age <br />2/;J.e S-5 <br />Printed Nam e & Address S..5'D f C.q pc (.,-di/\ Oa t Age <br />) e_, .M, z z.'{ 2 7 i" <br />Date <br />2 <br />Pri Date <br />~ G..'\S\)('.~ -ro,~lo r ~ ... t"~V"\ 2LQ/b <br />Printed Name & Address Signature Da te Ag e <br />Printed Name & Address Signature Date Age <br />Pri nted Name & Address Signature Date Ag e <br />Printed Name & Add ress Signature Date Age <br />Pri nted Name & Address Signatu re Date Age <br />Printe d Name & Address Signature Da te Age <br />Page of <br />I <br />I <br />I <br />\ <br />I