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_ PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />01'i,ou" •R PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />.� City of South Bend —Board of Public Works <br />y _ �P"%UL <br />227 W. Jefferson Boulevard Ste. 1316 <br />South Bend, IN 46601 <br />x x <br />Honorary Sign Request Name (Sign should read): �� C>r$ � $IVd <br />Proposed Location(s): <br />0g Ov w <br />AS RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Printed Nam4 &Address <br />N <br />1S' tune <br />Date <br />Age <br />Pr' ted Name &Address <br />rj Nignave <br />6-14, <br />Date <br />�4 - 110 <br />Age <br />L <br />Age <br />yrld Maes, <br />i (4ot <br />�/� �j <br />L ��Micur <br />�gna r <br />W l <br />P ' ted Name & Address u <br />Signature <br />�J �Dryate <br />Age <br />Printed Name & Address <br />Printed Name &Address <br />riAditissc, <br />Printed Name &Aldress -. <br />Ma e &Add <br />Printed Name &Address <br />rinted Name & Add <br />k <br />�d►✓ �G <br />Printe-d Namei & Address <br />Printeto Name &Address <br />Prin Name & Address <br />Printed Name & Addre <br />`CJ�� <br />Printed Na e & Address <br />J <br />Printed Name & dress <br />Printed Name & Address <br />Page Li of <br />Si a re <br />D e <br />Age <br />/f <br />v <br />ignat <br />D e <br />Age <br />i afore <br />at <br />1 4 <br />Age <br />Zatu <br />1124 <br />k �/jj <br />Ag? j <br />Signature <br />Date <br />Age <br />Sign <br />Date <br />Age <br />5iq_aatar� <br />ate <br />Age <br />Signature <br />Date <br />Age <br />nature <br />Date <br />Age <br />' Hato <br />Date� <br />Age <br />J <br />Sfgna a <br />Date <br />Age <br />7 <br />V l r'� <br />3 <br />lure <br />Date <br />Age <br />afore <br />Date <br />Age <br />