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_ PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />i1 City of South Bend — Board of Public Works <br />mk ]� 227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): <br />ASA RESIDENTOFTHE CITYOFSOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR. FEATURE. � �3y 1 <br />j ► .1 l��.I� �' �! J���Gf <br />Date <br />Age <br />e 1n- <br />-ess.... <br />�341 <br />`�� ) <br />jrP' t d Name & Add <br />qq� <br />rr� JJ <br />Datte <br />AgePrinted <br />Na e & Ad <br />Date <br />Age <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />— � <br />�j <br />ab i as <br />Printed Name & Address <br />i hature <br />Date <br />Age <br />Printed'Name & Address <br />r�.�AJ1) %Ai.1l.f <br />1Y71 f <br />Signa re <br />In1 !i r1xinl_116�41 ■ L� <br />Date Age <br />��� � 71 <br />Printed Name <br />�r <br />. I .,__-- ., Ij ---- Sioriature Date Age I <br />G <br />