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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />_ <br />f u�x <br />PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />I <br />!= �� <br />City of South Bend — Board of Public Works <br />227 W. Jefferson Boulevard, Ste. 1316 <br />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 <br />+OIR^FEATURE. <br />74r 1 .7 <br />j�7r y�� <br />/N1 <br />�C�IA.-' W Flr7 `• V •V <br />Printed Name & Address <br />Sig tore <br />UvYw <br />Date <br />Ll / I <br />Age <br />2— <br />0 ; <br />L1zI <br />Printed Name &kddress <br />5igna re <br />Date <br />Age <br />Printed Name <br />Signature <br />D to <br />A e <br />-1 1 <br />Pled Name & ress <br />Signature <br />Date <br />Age <br />rated Name & dress <br />Signature <br />ate <br />_n_ <br />Age <br />n <br />Printed Name& Mdress <br />' S =� <br />I �� Siena a <br />- � VI 6 �� ri So n <br />Date <br />J7-2 <br />Age <br />Sl <br />f"t d Nam�OddZs A <br />�z <br />1)5ig�ture ; <br />Date <br />Age <br />Printed Name & Address <br />E <br />Signature <br />Date Age <br />—j'4 --Z4-1 15 <br />Printe Na e & Address <br />+g <br />Da_e� y Age l <br />}ranted N�jame' &Ad r r� J <br />M1 <br />�j ��1/ <br />I( <br />�j�j <br />Signature <br />Date 9e <br />w `� <br />V <br />r i vi <br />V <br />P 'nted Name & Address <br />Sig re <br />❑ t Age <br />r <br />Printed Name & Addr <br />L vw <br />Signature <br />D at4 Age <br />q-t] A- n-J <br />OVI <br />Printe1. Na}mme & ressSs _ <br />ature <br />Date Age <br />t ➢- )- <br />1 1 YV <br />PrintQdme &Address .- <br />Signature <br />A, <br />Date Age <br />VAA <br />Printed Name &Address <br />•an CtAA�d I' <br />jj� _ <br />V <br />Si atur <br />Date 1 Age <br />A <br />Pnnted Name -dreY <br />ignatu a <br />Date Age <br />Printed Name &Address <br />Page 1 of <br />Signature <br />Date Age <br />