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• <br />• <br />• <br />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 />q�� S from ��� �I to <br />�oc7 Street Namg Cross Street Crosse Street <br />Date of Event: <br />/ZZ Iv <br />1• <br />Signature <br />I <br />6. <br />Signal <br />Name <br />Name / <br />Address <br />(t <br />Address <br />Phone No. <br />7 <br />Phone No. <br />�N_2J4rf_ 7—I U <br />O <br />Date <br />/ <br />"J <br />Date <br />/o <br />t192 <br />2. <br />Signature <br />Signature <br />Name <br />F Id <br />Name <br />C L _ (2 <br />d,l l..Gf r <br />Address <br />Address <br />Phone No. <br />.. `(j [..� I _ /7 <br />7 / F- <br />Phone No. <br />Date <br />f <br />�J <br />Date <br />3. <br />Signature <br />01 <br />B• <br />Signature <br />Name <br />Name <br />Address <br />7-0 <br />Address <br />Phone No. <br />/ <br />U <br />! <br />f, <br />Phone No. <br />Date <br />Date <br />4. <br />Signature <br />L <br />9• <br />Signature <br />Name <br />Name <br />Address <br />c3 <br />�7 � <br />Address <br />Phone No. <br />' _ ILf <br />Phone No. <br />Date <br />_ ` <br />Date <br />5. <br />Signature <br />r <br />10. <br />I <br />Signature <br />Name <br />Maim Z <br />Name <br />Address <br />do S <br />Address <br />Phone No. <br />ti a —9 OILPhone <br />No. <br />Date <br />e by r <br />Date <br />1 <br />