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PETiRON OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />'moo PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />City of South Bend — Board of Public Works <br />2' 227 W. Jefferson Boulevard Ste. 1316 <br />ti,�Z y1, South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />PrnnosM Location(s): <br />AS RESIDENTOFTHE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />PName & Address na DatA Age <br />YCa 41-z <br />L4— Pro i Ne Lae,,, z 2 �z 5�,� <br />Printed Name & Address n Date Age <br />'ted Name & Address <br />P&"alndlraMmGy-)O z?7 <br />Signature <br />&-if, <br />Date <br />l <br />Age <br />o` <br />s <br />Printed Name & Address <br />-J 6 � ' P�po �a <br />Signature <br />vOr �� - ,C <br />Date <br />4/ "P z f <br />Age <br />fb <br />Printed Name&Address <br />Nr[ti C �n S� <br />Signature <br />u � .. <br />Date <br />�f <br />Age <br />Printed Name &Address Signature <br />K�� e W i dar 2Z C ► i n �t a, .�,sJ <br />Date <br />Lf f& 01 V <br />Age <br />a;) - <br />Printed Name & Address <br />l <br />Si nature <br />Date <br />Age <br />v I ML �7 's <br />wi.w n A <br />—6-2 <br />6 <br />Printed Name & Address <br />4frMki (I k <br />o u W <br />i na re <br />Date <br />i <br />Age <br />Printed Nanhe & Address <br />vv <br />igna yV <br />Date <br />Age <br />z <br />Printed Name &Address <br />Itiomas J�c�soi�� <br />73� i�O�iwoKVS AVE <br />Sig <br />qk0 9 <br />Date <br />t lilrfZy <br />Age <br />zS <br />Printed Name & Address <br />A. <br />Signature <br />-1 ✓l— <br />Date <br />-1J6-12,1 <br />Age <br />q/ <br />/),___. <br />Printed Name & Address <br />T"-,L 4' s� <br />1 �3 1 �� � �g�s�� <br />Signature <br />. � <br />Date <br />Age <br />Printed Name & Address <br />Signaiure <br />Date <br />Age <br />Misr us 4 c e Lc ds>c, } I C a� <br />eA <br />Printed Name&Address <br />igna r� <br />Date <br />Age <br />Name Addr <br />I w ZZ <br />L �f <br />Sig <br />date <br />A <br />? <br />red <br />u r'� <br />L <br />7 <br />L. <br />print Name Add <br />nature <br />Date <br />rz <br />Age <br />. ��7. <br />(PEPIT <br />y <br />hinted Name &Addr <br />Signature <br />Date <br />Age <br />ro <br />IrinteQame & Address <br />Signature <br />Date <br />Age <br />Page <br />of <br />33 <br />