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_ PE111 ON OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />?" ° PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />1` City of South Bend — Board of Public Works <br />f 227 W. Jefferson Boulevard, Ste. 1316 <br />South Bend, IN 46601 <br />/y <br />Honorary Sign Request Name (Sign should read): <br />�\'-� � �n0sv� 6�nr I �' �14P�n:v� <br />Proposed Location(s): JOh "" �- n. <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE. _ � � , �/'�� <br />, Date � Age <br />Pr' ted ame&Addld s Signature <br />Sig r yg� Date Age <br />Printed Name &Address 7 Clz, A� J y ` j5 a,�/71 r .I <br />KPrabd1N,77me,�&AMddF_e5s_' 11 <br />C A <br />Printed Name & Address <br />!� <br />Printed Name & ress <br />Printed Name &Add , 1 <br />Printed Name &. dress <br />Printed Name & Address <br />Printed N e & Address <br />Printed Name & Address 9 <br />Printed Name & Address <br />,r <br />11Printed Name & Address <br />12 2— <br />(/} <br />I �•IRn 1 J7 1 rT. Y+ ■ih1� i— <br />Pri d Name & ress <br />Printed Name & Address <br />P 'nted Name & Address 1 <br />Pri ted mew& revs )Inwo \k <br />Name & Address �! <br />Page of <br />re <br />Date Age <br />®`lkz A°le - r� �- 3i' <br /><jgnptum <br />Signature <br />Date Age <br />Date Age <br />H I ► -7 /2Lt _5C <br />Date Age <br />e—1 L, I I Z <br />Date Age <br />YI <br />Date 1 Age <br />Date` f Age <br />r_ Jr <br />Date Age <br />u- ]7 Z <br />Date Age <br />Dat Age <br />Date Age <br />P17 <br />�t I Age <br />Dat Age <br />