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RESIDENT SIGNSTURFS Page Z ..._. Of 2--• <br />We have been informed, agree to, and request that the Board of Public Works of the City of <br />South Bend authorize a block party in the area described as: <br />e) from ' ' O/r U to we 'll'I <br />Street Name Cross Street <br />Date of Event (j / / - F6 <br />1. <br />Signature ]� �Q <br />Name q a d. PP9 <br />Address l © 6ott bs, Av -e - <br />Phone No. ? Y -) o <br />Date <br />2. <br />Signature <br />Name <br />Address <br />Phone No. - T % C. ` V;j " .. <br />Date3. <br />!� <br />Signature <br />r <br />Name <br />Address <br />Phone No. f ({ w <br />Date c) <br />4.� Signature .. <br />1 <br />Name ,.�• �( CIj <br />Address <br />Phone No. <br />��.. .,.� <br />Date <br />5. <br />Signature <br />Name- <br />Address 61-j <br />Phone No. <br />Date 5 .._ -- 17 <br />Cross Street <br />6. <br />Signature <br />Name <br />Address <br />Phone No. <br />Date -T - -�,, -, - /. <br />7. <br />Signature <br />NameI ��.... .. <br />Address ._ . -1 c �75 Gf) <br />Phone No. <br />8. <br />a <br />Date S 3 e-' / 7 <br />Signature <br />Ix" <br />Name <br />z)LUI ' '4(c% Xy( talc <br />Address <br />p25 Z <br />Phone No. <br />7��SP .- ()S �2—j <br />Date <br />. - - 3 6 --1 <br />Signature <br />y',�.�:�, �' .e..,._ <br />Name <br />C)4-Ajl,�l <br />Address <br />25o2.-P 3eijc��-5 <br />Phone No. <br />Date <br />10. <br />Signature <br />Name <br />Address <br />Phone No. <br />Date <br />61 <br />