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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />City of South Bend -Board of Public Works <br />227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend, IN 46601 <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE . <br />/l{fL r t t_-~/71 I ?1/ <br />P • a me &Add e Date <br />t:c,r/U?f 57 . <br />7)6~/; <br />~~/_LJ:!::Q~~L.LL!:::.~E£~~~~~~~A e~,ttfj <br />'cit/ &7 <br />_;J-/lcf <br />Date <br />vlL- <br />Date <br />s--':) <br />Pri nted Name & Address Signature Da te Age <br />Pri nted Name & Ad dress Signature Date Age <br />Printed Name & Add ress Sig nature Dat e Age <br />Page of