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RESIDENT SIGNATURES <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 />Nash Street from Indiana Ave. to Dubail Ave. <br />Street Name Cross Street Cross Street <br />Date of Event <br />1. Signed <br />5. Signed <br />Name <br />Name <br />! �) / 1i <br />, A�)),(,,X, <br />Address <br />Address <br />I � , <br />Phone <br />Phone <br />2. Signed <br />6, Signed <br />Name <br />Name <br />Address <br />Address <br />Phone <br />\j 0 <br />Phone <br />3. Signed <br />7. Signed <br />Name <br />Name <br />Address <br />Address <br />Phone <br />Phone <br />4. Signed <br />8. Signed <br />Name <br />Name <br />Address <br />Address <br />Phone Phone <br />