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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 Publ ic Works <br />227 W . Jefferson Boulevard, Ste. 1316 <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read)~_-4-Ll./+::::::+4::--:~+;i..;.....->1-1,,,.,_.._.,_-""'--J=:._..-"'=~l-}L.....:....- <br />Proposed Location(s): ..JJ-~}...L...:u..t-J.-i..µ_4[,,,4...J..Li....:::L~'::lr---1c.,,,.::.....i.;~.>L...l.=-.\,--O-=-=>"--'------- <br />Printed Name & Address <br />Age <br />ttJ <br />Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pnnted Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Add ress Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pag e of