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JJ <br />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 ( s;gn shout d read) "'5~~=+t::::,,,_-t-"----'-:'--t-'--"--.,.,_"""-\.-""7-'"tH'~- <br />Proposed Location( s): ~>r}....L.....,;>....£..t+-<1+>-~,L..f-.1.,LL___.__+-___ "'---'(~...__._~l---'---'-~..L...------ <br />ge <br />~ptJL.ed__.J~~~~~1-....f.:.~~~~~~~~~~--____::0:;~ <br />Signature ~ ~ 3 1 S ~ S,t . <br />Date <br />==:2 -'L:l--;L <br />Age <br />7 8 <br />Prin ted 'Name & Address <br />~{c ~ Signature <br />([31»3 ~ /p1/y' hood Ian.cl &r:_. <br />Date Age <br />Pnnted Name & Address Signature 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 />Pri nted Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pri nted Name & Address Signature Date Age <br />Pnnted Name & Address Signa ture Date Age <br />Pri nted Name & Address Signature Date Age <br />Printed Name & Address Signa ture Date Age <br />Printed Name & Address Signature Date Age <br />Pag e of