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RESIDENT SIGNATURES Page of <br />We have been informed, agree to, and request that the Board of Public Works of the City of <br />South Fiend authorize a block party in the area described as: <br />A�w;'� from ��� 'dAto 6 <br />Street Name Class Street — Cross Street <br />Date of Event <br />Signature <br />Signature <br />Name <br />-tD <br />Name <br />I <br />Kay, ... <br />Address <br />i'LK S ut-wocn+ <br />Address <br />�� •. `, f,Jig"kivy' P).. <br />Phone No. <br />,..... <br />Phone No. <br />Date <br />- <br />Date <br />. <br />�', <br />Si� <br />Signature <br />� <br />Signature <br />...�_..�..__.__ <br />Name <br />i -t ocy\ <br />Name <br />��� <br />6o FA N C 1 t� <br />Address <br />AtT N PA5 Wt7f��( <br />Address <br />121 S' <br />Phone Na, <br />�q -r660 <br />Phone No, <br /><3 4Y 2 <br />Date <br />Date,, <br />3. <br />Signature <br />' <br />�.�"�. <br />8. <br />Signature:��"._. <br />, <br />"� dw�, <br />_ _. <br />p <br />Name <br />, e� 4 ^ - _ <br />Name <br />w?afn c ¢ <br />Address <br />1 1 3 . Lf L� (A <br />Address <br />Phone No. <br />Phone No. <br />rx'tN' <br />Date <br /><� <br />Date <br />i• ` <br />4. <br />Signature <br />�!.'�.lw. Vim' <br />9. <br />Signature <br />r <br />Name <br />Name <br />4k ra I C <br />Address <br />OVS OQTq, <br />Address <br />.,...%.. " <br />Phone No. <br />1�`.., <br />Phone No. <br />rl <br />Date <br />Date <br />5.. <br />Signature <br />" <br />M <br />Signature <br />Name <br />� <br />f' <br />Name's. <br />Y <br />Addi ess <br />l A M to d, k G, ` <br />Address <br />Phone No, <br />5 Zf °A "7a7 <br />Phone No, <br />Date <br />4) <br />Date <br />Updated 9/2017 5 <br />