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PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />�h PUBLIC RIGHT-OF-WAY OR ON PUBLIC PROPERTY <br />;. City of South Bend — Board of Public Works <br />s P•.,�k ? 227 W. Jefferson Boulevard, Ste. 1316 <br />�Y = South Bend, IN 46601 <br />Honorary Sign Request Name (Sign should read): <br />� • c�YS'�� 81 v cl <br />Proposed Location(s): S+ <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPP❑ E P 6 ED HONORARY <br />SIGN OR FEATURE. _, - _-I , A �. ZII _ Z _ <br />p*rKd Name & Ac%dress <br />Printed Na & Address <br />Pnnted Na e & Address <br />Printed iV me & dress <br />Printed Name & Address ,'ll <br />�i CatiO+ S <br />Printed Name & Address <br />Printed Name & <br />Pnntel Name & <br />Printed Name & <br />A <br />6) K 6 <br />tJl <br />ovlr-4 <br />Signature <br />7LL!�" <br />Date Age <br />.._. L z4f <br />Date � � Age <br />aDate <br />�r <br />Date � �� A� <br />Date Age <br />-/7- <br />Date Age <br />�•�?•ZY 33 <br />Date Age <br />Da Age <br />Age <br />/!j/ a q^ <br />.... - 1 A- <br />rr <br />tignature <br />Date <br />Age <br />Printetl Na e &Address <br />i �t <br />fir'„ <br />ra o�7 n <br />Sign re <br />Date <br />Age <br />nnted Name & Address <br />Printed Name & Addleki <br />f]� <br />Si ature <br />at <br />Age <br />Printed Name &Address <br />Sig re <br />Date <br />LA <br />Age <br />`-6 <br />ignature <br />Date <br />Age <br />Printed Na &Address <br />Page of <br />_ <br />