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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />L aF PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />City of South Bend — Board of Public Works <br />i F <br />227 W. Jefferson Boulevard, Ste. 1316 <br />f South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />S+ M� <br />G <br />IG ,� 33 <br />Printed Name &Address <br />t.j c rA o-n �G-j z e r '1 4,0 5, GO I Ie + <br />Date � l � Age <br />1 d` 5 <br />Printed Name & <br />Signature <br />Date Age <br />AAddress <br />A, o C"1 , L, e <br />_LA. —It — L <br />Printed Name & Address �{, <br />140fri 5 jt q2 R ,{ sW + jlin <br />ignature <br />'Uf L <br />Date Age <br />+l . `24 V <br />Ph ted Name & Address <br />Signature <br />1 Date Age <br />VrifAlta&lame & Address <br />V G 6ak Ili IZ 1 '��1 s <br />Signature <br />�Q:\(x <br />DaAge <br />, LA�� 2 <br />Printed Name & Address <br />Signature <br />Date Age <br />��. Glm,n �t1z � h r �t <br />�v 1�-2v Z L <br />_�\ <br />Printed &Address {] n (1 <br />51 re <br />Date Age <br />Lr° e <br />Print}e�d Named&Akdd1r{ess J <br />VIQ <br />ign <br />Date Age <br />Pri ted Name & Address <br />Signature <br />Date Age <br />�y <br />�T <br />G -� •�J <br />Printed Name & Address <br />6ure <br />f Date Rgg <br />Printed Name & Address <br />ignature <br />Date Age <br />fcJ jC4 <br />Printed Name & Address <br />;, <br />o�� <br />�i� <br />Sin�"" <br />Date <br />`l <br />Ag <br />h <br />Printed Name & Address <br />afore <br />D e <br />Age <br />Printed Name <br />[&jAddress <br />r Q <br />ignaturre( � <br />Date <br />Age <br />Printed hame &Adqress <br />i atsi <br />Date <br />Age <br />q 3 <br />P�ame & Addre <br />(j <br />n L <br />Si nature <br />Date <br />Age <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />Page 2-of <br />