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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 -Boa rd 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 TH E PROPOS ED HONORARY <br />SIGN OR FEATURE. _.g <br />'V .S &) M,--c> d;:; 9' u ,eaJM-f bJ. <br />Pnnted Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pnnted Name & Address Signature Date Age <br />Printed Name & Addre.ss Signature Date Age <br />Printed Name & Add ress Signature Date Ag e <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 Signa ture Date Ag e <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pag e of <br />z)~ <br />_3/ i y