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RESIDENT SIGNATURES <br />Page of <br />We have been informed, agree to, and request that the Board <br />of Public Works of the City of <br />So ut Bend authorize <br />a block party in the area Pescribed <br />as: <br />from POWS <br />to L (� <br />Street Nam <br />Date Event <br />Cross Street <br />Cross Street <br />of <br />Signature <br />_�� <br />Signature <br />Namey <br />Name <br />Address <br />L t-4 <br />Address <br />Phone No. <br />Phone No. <br />Date <br />2 <br />Date <br />Signature <br />3 <br />Signature <br />Name <br />l��ti <br />Name <br />AddressA <br />Address <br />Phone No. <br />(�3 <br />Phone No. <br />Date <br />Date <br />3. <br />8. <br />Signature <br />L <br />Signature <br />Name <br />�� <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />4. <br />9. <br />Signatur <br />Signature <br />Name <br />Name <br />Address <br />z1b <br />Address <br />Phone No. <br />- 2 Z2 -c f ��' <br />Phone No. <br />Date <br />Date <br />5. <br />10. <br />Signatur----� <br />Signature <br />Name <br />% re( <br />Name <br />l� C�cu <br />Address <br />Address <br />Phone No. <br />57 5e — - ,7 23 ( <br />Phone No. <br />Date <br />¢%— Z 0 7 <br />Date <br />Updated 4/2013 5 <br />