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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 />`r 227 W. Jefferson Boulevard, Ste. 1316 <br />y _ South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): 40rS-r-On R 1v 6 <br />proposed Location(s): ] <br />ASA RESIDENTOF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE.V P�9' <br />tSignature O Date Age <br />Printed Name &Address Ll 1 <br />7 a4-1 _11 Lf -D <br />re Date Age <br />Prim Name Ad ess <br />r I <br />5 ur Date e <br />� r Signature Datelr� 9 <br />Pri nted <br />Pri <br />mee&& <br />�e & <br />me & <br />me & <br />me Address <br />t <br />me & Addre <br />— I. <br />ff �dress <br />ture atAge �� ...� L11/712�Z9 <br />5i naturv, <br />' <br />A <br />IT q3 <br />Signature <br />Date <br />Age <br />Sig ure <br />Date <br />Age <br />Signature <br />Date <br />Age <br />Signature <br />Date <br />Age <br />Signature <br />Date <br />Age <br />O1+ /� �" n4li-C Date Age <br />n a e Addr Signature r <br />V <br />ignatu c ❑ to <br />Pri[,!�-i'rllN1am Address �JI 1� Date Age <br />Pr jN}ame & Addres SI f e <br />P nted N e Ad re <br />5ignat e to Age <br />Printed e & A d s <br />Page of <br />