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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 Bend authorize a block party in the area described as: <br />/s <br />t ck�bml )'� from DokbTuoy— D,- to (Dqo�- OV)YW-) ' T-' <br />Street Name Cross Street Cross Street <br />Date of Event <br />1. 6. <br />Signature <br />Name <br />Address Z� C��, <br />Phone No. a�G - 3 Z JLI I <br />Date <br />2. 7. <br />Signature <br />Name <br />Address Z.3Zq 0, �,�� .�, i! Or <br />Phone No. 5 7 q- Z.9 7- I q7 a <br />Date <br />I <br />3. 8. <br />Signature <br />Name S (A S 2) rYL <br />Address 230 S G a brbo )L -J-)-y <br />Phone No. 9 , () 1* r10 <br />Date - 1 <br />4. 9. <br />Signature <br />Name ju- )o e L8 &) Dsb w IC6- <br />Address <br />Phone No. 57 q - o? �7 f <br />Date q .- 1 6~ M� u <br />Signature y <br />NameSCAP,13EC 1< <br />Address �Zq) - (!0RP145 e N,O1 ST I <br />Phone No. 57 `T ` q b '"0 N <br />Date -j <br />Updated 912017 <br />Signature r 4'Ltr6j`L� <br />Name l V-1 D <br />�7r <br />Address �c?cq CC)( a V <br />Phone No. &j `7 -- S -j <br />Date <br />Signature J,j " -'�'7 rl, 0 4 <br />Name W i 6 A VA O D D <br />Address J C:k V kr (` <br />Phone No. " <br />Date <br />Signature ` R.L <br />Name O 6'1 Vl t el 13 ro M e, 1 <br />Address <br />Phone No. - -40 -7Q ;� G7 <br />Date <br />Signature <br />Name �c <br />Address 22)1, <br />Phone No. <br />Date <br />Signature <br />Name <br />Address <br />Phone No. <br />Date <br />Ls) 6 - <br />III IIIIII IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII� <br />k/ <br />