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• <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: L <br />from S • X Vr• to <br />Street Name Cross Street Cross Street <br />Date of Event: O q1 2 Z S- <br />,,f <br />S' (� �y Lf�l(jy <br />1• <br />Signature <br />/" <br />6. <br />Signature <br />Name <br />a M Qhd <br />Name <br />Address <br />[/� 1 LI <br />Address <br />Phone No. <br />S 7 - `7 /D _Q (6/ <br />fl�G�r v <br />Phone No. <br />Date <br />�^ .7 <br />Date <br />2• <br />Signature <br />7. <br />h <br />�/ <br />Signature <br />Name <br />/ <br />�1 <br />Name <br />Address <br /><Fm <br />Address <br />Phone No. <br />Tl <br />/ " <br />e <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />C <br />B• <br />Signature <br />Name <br />J[p <br />Name <br />Address <br />A <br />1 <br />Address <br />Phone No. <br />`%` �/ �/ <br />V <br />Phone No. <br />Date <br />.�i f <br />(p <br />Date <br />4. <br />Signature <br />9• <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />S. <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />