Special Event - Clark Birthday Party - July 4

Home Browse Search

th4y-f-y zaa3 • • Neighbor Signature Sheet - Neighborhood Special Event We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a block party in the area described as: %� from to Street NAme Cross Street C/ N/ Cross Street Date of Event: 1 Signature 6. Signature Name ClIL/ Name Address O artx.s Address Phone No. / 7 /e t G ✓ Phone No. Date _ Z Date 2• Signature 7. Signature Name / �M Name Address Address Phone No. /v 77 Phone No. Date Date 3. Signature t B. Signature Name Name Address �("_ Address Phone No. S7 Phone No. Date 6 ✓ 2- — � Date 4. Signature 9. Signature Name Name Address Address Phone No. 7// q G-�p - �/ �L 7 �L=�/ i� Phone No. Date / �..� t� Date S• Signature 10. Signature Name Name Address Address Phone No. Phone No. Date Date