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_ PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />�0-'`s`�' $� PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />8 City of South Bend — Board of Public Works <br />rE,C. 227 W. Jefferson Boulevard, Ste. 1316 <br />x <br />South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />Proposed Location(s): <br />AS RESIDENTOFTHE CITY OF SOUTH BEND, INDIANA, I SUPPORT <br />THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />f e dy-O <br />L <br />s tr <br />Printed Na &Add ss117— <br />I i <br />5- ature <br />Date t <br />(T <br />{{Age <br />82- <br />Pri ed Name Add S <br />Signatu <br />Date <br />Age <br />Printed Name _& Address <br />�i n <br />Signature <br />\.- 6k n U-� <br />Date Age <br />Printed Name & Address <br />Signature <br />Date <br />Age <br />Printed Name &J�J((A�dd��]dress <br />`�J (I <br />O ' <br />Signature) <br />/e <br />.�-D]}+ate /f !/� fi�,Age <br />- <br />FZ <br />t 1� 0 �; <br />/ l <br />i I / <br />nted Name & Address <br />5 �g �ja nature - <br />Date <br />Age <br />Age <br />Ated Name &Addr <br />,rr'LLQ'Ins-k) <br />(itL <br />?;n 5 <br />nature <br />Date <br />Printed Name & Address <br />nature <br />Date <br />Age <br />S r <br />Printed Nami & Address (� <br />-, <br />�7 <br />Signature <br />��JL <br />Date <br />44 ) <br />Age <br />Cr !'y <br />.,L2 <br />PAAted Name & Address <br />Signature <br />Date <br />• <br />Age <br />7 <br />(Tro Q u 6►� <br />I- <br />Pn'n ted Name It Address <br />nature <br />Date <br />Age <br />r r[I s o , Ben q/ <br />Printed Name &%Addr Signature Date Age <br />Printpd Na,e,& Add Signature Date Age <br />11 <br />Printed Name & Address <br />Page (o of <br />Signature <br />Date <br />Age <br />