Laserfiche WebLink
0 <br />We have been informed, agree to, and request that the Special Events Committee of the City of South Bend authorize a <br />block party in the area described as: <br />LARKsN R ',R from FI Nc" -m to 1n,HFn7LI" l� <br />Street Name Cross Street I'll <br />Date of Event; S ATtw 2 1IIo V —7,t G 1-7 -7 , 2 <br />t <br />Signature <br />6. <br />Signature <br />/ <br />Name <br />%Lk f, e S .l �✓�tnSD <br />Name <br />V <br />M <br />Address <br />Address <br />S313 L�-' <br />Phone No. <br />_ <br />Phone No. <br />Date <br />5 It,!? <br />Date <br />J LP <br />2. <br />Signature <br />7. <br />Signature <br />Name'ikiw <br />�, <br />Name <br />Address <br />Address <br />Phone No. <br />/ <br />Phone No. <br />Date <br />Date <br />3 <br />Signature <br />_ <br />8. <br />Signature <br />Name <br />Name <br />Address <br />F2 v h <br />ZMAAt <br />Address <br />Phone No. <br />Phone No. <br />Date <br />,7 /L d'73 <br />„ <br />Date <br />4• <br />Signature <br />9. <br />Signature <br />Name <br />Ke <br />e <br />Name <br />Address <br />L _ _,', <br />Address <br />--?al <br />Phone No. <br />5. y r S6 <br />Phone No. <br />Date <br />Date <br />5• <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />.G <br />Address <br />Address <br />1 <br />�� _ r. <br />Phone No. <br />Phone No. <br />UQ 33 Z <br />Date <br />L I �� <br />Date <br />- <br />soft <br />