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Neighbor Signature Sheet - Neighborhood Special Event <br />We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a <br />block party in the area described as: <br />from to <br />Street Name Cro Street Cro treet <br />Date of Event: <br />1• <br />Signature <br />6. <br />Signature <br />Name <br />r,` <br />IV r <br />Name <br />Address <br />/ <br />Address <br />Phone No. <br />33 ` <br />Phone No. <br />Date <br />Date <br />2. <br />Signature <br />` <br />7• <br />Signature <br />Name <br />e <br />1 <br />Name <br />Address <br />��� `� <br />YrrS <br />Address <br />Phone No. <br />_ / I[� k G] <br />Phone No. <br />Date <br />/ <br />�.F <br />Date <br />I <br />Signature <br />8• <br />Signature <br />Name <br />Q <br />Y/ w b <br />Name <br />Address <br />G��tZ sl <br />Address <br />Phone No. <br />—2 z ro, (93'5' <br />Phone No. <br />Date <br />6.. r I — 2.P 2,5--� <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />p'O'q <br />Name <br />Address <br />p N 13rackAael <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Z�Ps_ <br />Date <br />5. <br />Signature <br />1 <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />—e-ii1 _ <br />`� f—I <br />Phone No. <br />Date <br />Date <br />