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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 />:k1s:] 227 W. Jefferson Boulevard, Ste. 1316 <br />=f South Bend, IN 46601 <br />raw <br />Honorary Sign Request Name (Sign should read): <br />p� 1�or5�� F Ind <br />p Location(s):�Dl�s'1 SC�r5� (c�oo�� � l�n ti� �/� �►aoo""� <br />AS A RESIDENT OF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />-� G r <br />� �� uak e�xV� <br />6+1 q^ a a <br />Printed ame &Add <br />Si ature <br />Date <br />P <br />Age <br />tY [ dCi^Gll vl <br />IJ t �1 e IMC' <br />Date <br />Age <br />Prin Name & Address <br />I Z I 1�. �ir� r <br />�natur <br />L1 - 252-2 <br />t j <br />III' or �, �, <br />Printed Name & <br />5s r <br />Date Age <br />a 6Date <br />5i nature <br />Age <br />Printed Name & Address <br />> �1 <br />IF CGW <br />tlyata <br />. <br />arinrari Name &Address <br />Signature <br />'1 I '711 <br />Age <br />if) f <br />Printed Name &. Address <br />Printed Name & Address�� <br />Printed Name & Addres.5 <br />Printed Name & <br />Printed Name& <br />f �E� <br />Printed Name & <br />{�{ <br />Printed Name & <br />V <br />Date Hyu <br />Date <br />Age <br />Date <br />Age <br />Date <br />Age <br />L Signature b7 Le f Age <br />Mina Address <br />�j << � � �'� �'. �.�Afi-;-•art "� <br />t�a <br />