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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)"-<==,..-"Y~~t::::::,.L-'l-'-'~"""'11-'--~..__~....-""'b-\H'--'-- <br />Proposed Location( s): ...i.µ..:...} ~--L..l,-J.-1-+.i...i:.1cH4-J~J___.::!l'.---6--<::..+-.;,,µ.u..!:~......:....=-.:~L------ <br />AS A RESIDENT OF THE CITY OF SOUTH BJND, INDIAN ~~-='-''-'-PROPOSED HONORARY <br />0l\ \J/\\'.J 1>-t S 4b <br />.P e ame ress <br />• • • 1 IL <l U]lllJLJS ~l.{ 3 <br />Ag e <br />~ ;t. be) i.f (b5 <br />Age <br />5 & <br />Age <br />~tk\~eue,_,__~~:o~rvYJ;L..L&<,5..,l..-(.a~3~a~1'.1:.=....:..;. 5"'"'-Jher:~~; da~"-~lS,:!_l±~-J,,116,-~~~!.J!ILL!~.Jl..,fl!_-,=o...=:::·J__.l.,.'{ _ _!,,(g 1 <br />~~~-\,J-LLl,,6~---0VLl-4-J-.[,L..~~L.n..LLL..---J...Y,~lUJ,....!-UAULJ~illl.l-,LJ~:...!.__!..µ. ~ <br />2 ~ 2~ 0~s h, ,..,9-d:r>i'\ <br />'._.., <br />Age 6 7 <br />ge <br />f:!J-L ~~~~~w_y~ES_~l::)j!L~u_~~~~U~U?~~sg-' <br />-:=-:-:i-~=:~~~~.___c~~~~~~!:D&~!J __ 1_?~7.~n~~ru~:~{~t,~,7-U~==---·_c2_?e...£J_ge~Y.~f/( <br />Signarure Date Age <br />Printed Name & Address Signaru re Date Age <br />Printed Name & Address Signarure Date Age <br />Printed Name & Address Slgnarure Date Age <br />Printed Name & Address Signarure Da te Age <br />Printed Na me & Add ress Signarure Date Age <br />Printed Name & Address Signaru re Date Age <br />Printed Name & Address Signarure Date Age <br />Prin ted Name & Address Signarure Date Age <br />Pri nted Name & Address Signarure Date Age <br />Pag e of