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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 />227 W. Jefferson Boulevard, Ste. 1316 <br />a� South Bend, IN 46601 <br />IAI:•i <br /><<�e-;j� <br />Honorary Sign Request Name (Sign should read): ! �' 1 �� <br />AS A RESIDENTOF THE CITY OF SOUTH BEND, INDIANA, I SUPPORT THE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />Printed Name &Addre <br />� <br />Signature <br />at <br />Age <br />c � C� t �J <br />natu <br />Da <br />Age <br />Printed Name &Address <br />5b12 6,.ffsr" I <br />S� <br />Printed Name & Address <br />gnature <br />Date <br />Age <br />4 . <br />Printed Name & Address <br />Signatur <br />Date <br />Age <br />515, <br />1 <br />Pri to ame &Add <br />�,5 `r�,'� <br />��}}t�r9� <br />Date O/� ^ark, <br />rinted Name & Address <br />ignature <br />d Ycsl <br />Date <br />'6SPrinted <br />Age //,.� <br />G�iLrf <br />Name& Ad ress <br />Date <br />-2 <br />ge <br />Age <br />PrintedNa &Add ess <br />Qat <br />Age <br />C�nnc 11 <br />N,. Ac5[ �i�a3�a <br />printed Name & Addess <br />Signat <br />Date <br />qA <br />Age <br />Printed Name & Address <br />Signatu �, <br />Qate Age <br />Printed Name &Addr <br />Signature <br />Da a <br />Age <br />LL <br />r <br />Pri teydrl't-ame & ress�� � po <br />Signnaatur <br />1y;11'� �D/ate <br />/6ge <br />Printed Name & Addresss1s <br />-� <br />Signature <br />Date <br />y-23 a� <br />Age <br />66 <br />Printed Name & ddress <br />gna re <br />Date <br />G -2a <br />Age <br />Pr Name &Add � <br />igna re] Date <br />Age <br />Printed Name & Address C < r P Signature nn <br />Date <br />`[-2 2. <br />Age <br />S <br />D/�t 1! e ,.. y e So ,fit, +4r <br />U <br />Signature <br />Date <br />Age <br />Printed Name & Address <br />Page <br />j roof <br />