Laserfiche WebLink
_ PETITION OF SUPPORT FOR PLACEMENT OF HONORARY SIGN WITHIN THE <br />Cg <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 />' ` South Bend, IN 46601 <br />Honorary Sign Request Name (Sign sho d read): L 6n/4 <br />Proposed Locations : t 1iq 1�5v owl <br />AS RESI D ENT OF TH E CITY OF SOUTH BEND, INDIANA, I jUPPORTTHE PROPOSED HONORARY <br />SIGN OR FEATURE. <br />�� i �V� i• ` 1 i 1 t, ? y z <br />Printed Name'&Address Signature Date Age <br />04 <br />Prtn ed Name & Address 5ig[lature Date r' Age <br />4 eks;Ave--- (A o 1) n <br />Pri t me Andre ; Sig a • r r AgeLC <br />42 � Z, <br />rlted Na e & Rdd Sign tore l Date Age <br />rinte�d{ Name & Ad[dress r ]/TL Signature Date Age <br />ZL <br />Printed ame &Address S�nature ; Date Age <br />o��l g/lc/ 2 <br />PrinM Name & Address Signature I Date Age <br />Wed aame & rdress Signatur <br />D t Age <br />zu/w <br />Printe am &Address <br />Date <br />Age <br />Prin dName&Addr <br />Si ure:[Date <br />Age <br />Pn me &Add <br />�3� <br />ignature <br />d � <br />Qat � <br />- � <br />Age <br />�47 <br />s <br />#i ed Name & Address <br />Ak <br />_ <br />C <br />ignature <br />"d <br />Date <br />Age <br />L C/ <br />Printed Name & Address <br />_ <br />Signature <br />Date <br />�Age <br />Printed Name &Address <br />re <br />Date <br />Age <br />Printed Name & Add <br />i ture <br />Date <br />Age <br />56 <br />AVY'f <br />2 <br />p ' ed Name & Address <br />Sign re <br />Qat i <br />e <br />Pri d ame & ddress <br />`• <br />Page Fj of <br />Signat ` <br />D <br />AgF <br />