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Renewal Reserved Handicapped Parking Space Sign Permit #5
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Renewal Reserved Handicapped Parking Space Sign Permit #5
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11/26/2024 2:03:26 PM
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11/26/2024 2:03:24 PM
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Board of Public Works
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Projects
Document Date
11/26/2024
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Where do other employees park? <br />What efforts were made to apply for applicant’s parking needs? <br />Supervisor Signature Date <br />Typed or Written Name <br />AGREEMENT <br />I, , hereby attest and affirm that the above information is correct to <br />the best of my knowledge. I also agree to pay the City of South Bend forty-five dollars <br />($45.00) per month on the first Monday of each month, during which time I am authorized to <br />utilize the reserved parking area as approved by the Board of Public Works. A yearly renewal <br />of this application is required. <br />Applicant Signature Date <br />Typed or Written Name <br />Board of Public Works Approval <br />President <br />Member <br />Member <br />Member <br />Member <br />Attest: <br />November 26, 2024
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