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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 />x. <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): <br />ASA RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGNL OR FEATURE. LA L � � � �1 • � 7a� ,� j <br />Printed Name &Address <br />Date Age <br />+!�-ay 3 <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />W <br />I �� <br />& <br />�.r� �� <br />Ls <br />Printed Name &Address <br />Aro flmicvvt <br />$1 <br />Sig tur <br />Date <br />Age <br />Printed Name Addres + <br />I� <br />Sign re <br />Date <br />Age <br />ame &Address <br />Si na ure <br />I Date <br />Age <br />gPdntedame &Address <br />L <br />Signature <br />Date <br />Age <br />PG{ i <br />- L <br />Printed Name & Address <br />Signature <br />Date <br />Z:,?q <br />Age <br />4$ <br />Printed Name &Address <br />Signature <br />eA - . -- <br />Date <br />i I 1 _. . <br />Age <br />I / 1 <br />Name & Address <br />!_]Vlr •T I%. — I V i 4 <br />Printed Name & Address <br />t its e <br />Name & Address <br />Printed Name & <br />Printed Name & <br />Printed Name & <br />Print e Name&Address <br />Printed Name & Address <br />Printed Name & Address <br />- Se. j t1 � c,,.a (u Signature Date Age C <br />Sinnatu� _ Ddte Age <br />ure Date Age <br />on <br />i I� <br />Signatur Date Age <br />nature Date Age <br />Si nature Date Age <br />y <br />Signature Date Age <br />s-c/ <br />Si nature Date Age <br />Signature Date Age <br />Page j of <br />Aw <br />