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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 />Honorary Sign Request Name (Sign should read)"'--s::.,.4,,~=+-¼:--:,..__.,._.,'--'-'~+-'-"'--""'-....._¼,,,,-<"t-T~'--- <br />Proposed Location(s): -'d-'i.:-}...L......:._,_,t-H+>-Y::b"+-.&,,.<.L---"--~-4a,.-~+->L...l..=-i--:-....L--:,L.-'------- <br />AS A RESIDENT OF TH <br />FEAT RE . <br />P~ame & Address <br />I '" N'\. 'N'-.. <br />Pri nted Name & Address <br />Printed Name & Address <br />Pri nted Name & Address <br />Printed Name & Address <br />Printed Name & Address <br />Printed Name & Address <br />Printed Na me & Address <br />Pag e of <br />SUPPORT THE PR ORARY <br />;fa;)( ~ <br />Age <br />S6 <br />~e <br />Date Age <br />z, ~ -z. "l. 3y <br />Signature Date Age <br />Signature Date Age <br />Signature Date Age <br />Signature Date Age <br />Signature Da t e Age <br />Signature Date Age <br />Signature Da te Age <br />~lf ~ <br />~ u