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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />'°17rH e k� PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />r/� r� 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 RESIDENTOFTHE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE, <br />(77I <br />�'7 <br />4� <br />rc <br />�J <br />Printed Name & Address rt <br />Date Age <br />3 <br />Printed NarKe & Address <br />exrc� MrJ�.� <br />re <br />%c?5 ❑ri �r, �YL�. <br />%4 o'a C3r7 <br />Date Age <br />H 11-1 I -Ay 1 <br />Painted Name & Address <br />`� <br />ItSi r <br />' `'X/ <br />Date Age <br />A <br />t y bYl <br />Printed Name &Address <br />Signatu to Age <br />P�i ted me & Address <br />UQ��� � <br />Signature <br />�10� S �rv0Kj <br />Date '' !!Age <br />2`f <br />PrfY Narpe & Ad ress gn ^,j <br />Date Age <br />Printed Name & Addr <br />C. rA <br />L Q - �-� OSA"--�-A <br />Date Age <br />P 'nted Name & Address . <br />n ure <br />Da Age <br />Age-1 <br />/] <br />Printed Name &Address <br />S1 <br />Signature <br />X) w A <br />Date Age <br />S-^-- hlzy 3( <br />Printed Name & Address Signature <br />h b" i t::� z (V 40 r� �=— <br />Date Age <br />� /7Izc/ yl <br />Printed ame&Address <br />Signatu <br />Date Age <br />Printed Na Address <br />�i <br />Lure <br />Date Age <br />4 <br />; V <br />352 CA. Y GL <br />Printed Name �` dress <br />Sigrre <br />ate A <br />Printed Name &AdTress <br />.SCwnd(0'S(mom <br />Panted Name & Address <br />Prinrme & Addr <br />Printed Name & Address{a �++QQ <br />r Cif i n 1 ,I`c i'1_ A�7 A (aA S V PN%�Jli 1UAL <br />—� Date, l I I 1 oC ,A9�� <br />-"' Date Age <br />17-t o <br />Pate Age <br />Date Age <br />�i�r-I2-oZ-+ q5' <br />