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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 Public Works <br />227 W . Jefferson Bou levard, Ste. 1316 <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read)~,....a,.!.l.!t'=+-l::::r+>,.:J..~"+-L.l!..-=--1.~.....:i,.74J~_;__ <br />Proposed Location( s): JJ...:~J~~H-4-1-.JJr.f,..L+...l,.,.£JL-..J:_~---1.,,...,c.-~11.LlL~:::-+.....:....:r::::.....:~L...------ <br />AS A RESIDENT OF THE CITY OF SOU TH BEND , IND =='--'-"::...,...:,.:.; PROPOS ED HONORARY <br />SIGN OR FEATURE . • es ;2(13 <br />Date Age <br />Pnn t ed Name & Address Signature Date Age <br />Pnnted Name & Address Signature Date Age <br />Pnn ted Nam e & Addr ess Signatu re Date Age <br />Pnnted Name & Address Signature Da te Age <br />Pnnted Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Pnnted Name & Address Signature Date Age <br />Pnnted Name & Address Signature Date Age <br />Pnnted Nam e & Addr ess 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 Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Sig nature Da te Age <br />Pnnted Name & Address Signature Da te Age <br />Printed Name & Address Signature Da t e Age <br />Page of