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Please read the Instructions prior to completing the Agreement yooTIH. <br />0 <br />4O`k. <br />INSTRUCTIONS: <br />DOWNSPOUT DISCONNECTION Z; <br />APPLICATION(DDIV1) A � <br />1. The Downspout Disconnect Agreement, which can be found on the next page of this <br />document, must be filled out completely. <br />2. Please choose the downspout color and indicate how many need disconnecting. <br />3. Signature and contact information is required. <br />4. Return Agreement to: <br />Department of Engineering <br />227 West Jefferson <br />1316 County -City Building <br />South Bend, Indiana 46601 <br />(574)235-9251 <br />Fax: (574) 235-9171 <br />Email: hparkhil@southbendin.gov <br />