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This Agreement is subject to revocation by the City of South Bend if this lot(s) is/are <br />offered for sale prior to <br />Date: V/ r x of'( / w " <br />Company Representative <br />Signature:�r <br />Name: -� - �i`e°`i" Telephoner <br />rr <br />Title: 1012 <br />Address: s ......... <br />City: _ .,_� State: �' Zip: <br />�e <br />kARD OF PUB IC WORKS APPROVAL <br />'II <br />1'r+dc11 Member Member <br />Member Member Date <br />RETURN FORM TO: 2 <br />Board of Public Works <br />1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />Phone: (574) 235-9251 • Fax: (574) 235-9171 <br />