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Special Event - Fun in the Park-Aug 10 2025
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Special Event - Fun in the Park-Aug 10 2025
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7/22/2025 3:05:12 PM
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7/22/2025 3:04:49 PM
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Board of Public Works
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7/22/2025
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• <br />• <br />C1 J <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: ,/� ,n ^ <br />from LJ O �C O y d to I ✓' <br />Street Name Mom-/ _ Cross Street / Cross Street <br />Date of Event: <br />1. <br />Signature <br />6. <br />Signature <br />Z <br />Name <br />Q./ <br />QMavlllla-GO <br />Name <br />i <br />l,�/1 <br />Address <br />I' Y <br />Address <br />Phone No. <br />Phone No. <br />Date <br />5� <br />Date <br />2. <br />Signature <br />f <br />�V B <br />T <br />Signature <br />Name <br />Name <br />Address <br />e5" <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />B. <br />Signature <br />Name <br />Name <br />Address <br />/ S-c / int `� <br />Address <br />Phone No. <br />37rf_ 33�7:�/ <br />77 6 <br />Phone No. <br />Date <br />Date <br />4. <br />i <br />i <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />On / <br />'7 l <br />Address <br />Phone No. <br />_ I y <br />Phone No. <br />- <br />Date <br />_ <br />Date <br />S. <br />Signature <br />10. <br />Signature <br />Name <br />2 / I ,f� 7 _ <br />W <br />fZ <br />Name <br />Address <br />1 11e <br />Address <br />Phone No. <br />,� 7 �� <br />Phone No. <br />Date <br />- 2 , <br />Date <br />
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