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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 />PRA; <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): <br />AS A RESIDENTOFTHE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />.] o110 <br />w LLA 04co <br />Printecf Name & Address <br />Lj ature <br />�.h, � <br />Date <br />/(-2�l <br />Age <br />'31 <br />r i� <br />Printed Name & Address <br />�` <br />Signature <br />Date Age <br />' a <br />d_ �. t <br />Printed Name & Address <br />� Y) <br />Signature <br />► 4� -} c .n S + <br />Date <br />dr► k y- 4. -24 <br />Age <br />tf I <br />r 3 <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />05 <br />Tinted Name & ddress Be'r-10 g ure <br />� <br />Date <br />J i�l� � <br />Age <br />5 f <br />rated Nam & dr <br />r <br />gn <br />roc)l O � <br />Date Age <br />r� <br />teat ame&A <br />re <br />Date <br />Age <br />n ed Name & Address <br />��t'�C��'s�cltr <br />��i r .4-7(o '�}'v0-c 4Er c-4- to <br />Date <br />�L-1� <br />Age <br />Printed Name &Addrress <br />4303 w Ivy 5igna a <br />�Date <br />Age <br />• 1 vV�. <br />Printed Name &Address <br />3 tL <br />Y i9r}j3ture <br />5v 5 3o�nlarl 5 -e- e ,-- <br />C.�.Tf <br />Age <br />Z <br />n d Name &Address <br />?JIp7� Hlil�jlie Signature <br />qDtfAge <br />C Rpvd Aj <br />ted N me ddress <br />r' <br />ignatu <br />a <br />Age <br />f <br />r <br />r <br />Printed Na <br />ot-s� �* S S Signatu <br />/ to <br />Age <br />Pri d Name Address <br />L�l �5 C�-2� �/L Signature <br />Date �� <br />Age , <br />f 1 t <br />tr � <br />Pi ted Name & Add ss <br />S. re <br />5`� n Df I <br />Date 9e <br />-1 U~ � <br />Pri ted Name & Address <br />VN t Signatur <br />Date <br />71 ran <br />Age <br />Printed Name & Addr <br />Signature <br />Page of <br />Date <br />Age <br />