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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 Publ ic Works <br />22 7 W. Jeffe rson Boule vard, St e. 1316 <br />Sou th Bend , I N 466 01 <br />AS A RESIDEN T OF TH E CITY OF SOUTH BEN D, I NDIA NA, I SUPPORT THE PRO POSED HONORARY <br />SI GN OR FEATU RE. <br />4<ei(/f.,, ~"iZ t.JeS 3,i, s:. f::>(l. t\f\~(,.__/l:,,,.( B\vl 3 '15 &+w-ee~ 3 / 2. IL-'f <br />Age <br />4:s- <br />Age <br />Age <br />c). -bJc:J., <br />Dar~ 2'1 Age <br />53 <br />Printed Na e &Address Signature Age <br />--yJJr'-k /;11 ( <br />I • <br />G l _., .... , "5 J,)l, ·s ·-/,.-" le. . -)i ' , (: _;., /; "· I ;:t..; l ',__(;J::; 3 ,}-.)(f s J <br />Pnnted Name & Address •.j 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 />Pnnted Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Name & Address Signature Date Age <br />Printed Nam e & 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 />Page of