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r1 <br />LJ <br />• <br />Neiahbor Signature Sheet - Neighborhood Special Event <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 />�;bt% e '9' from J P (4—r- snn l31 ✓O(tO au m e st <br />Street Name Cross Street Cross Street <br />Date of Event: <br />1. <br />Signature <br />/ <br />6• <br />Signature <br />Name <br />CI <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />2. <br />Signature <br />7. <br />Signature <br />Name <br />t\A� <br />Name <br />Address <br />1/ 3 <br />Address <br />Phone No. <br />M — ai S�6 7 <br />Phone No. <br />S '7 a0d3 <br />Date <br />IDate <br />3. <br />Signature <br />8. <br />Signature <br />Name <br />Name <br />Address <br />n ne �- <br />i' <br />Address <br />Phone No. <br />`W <br />Jr?'T SJrO �OID�I2 <br />Phone No. <br />Date <br />Jr / i T 123 <br />l <br />Date <br />4. <br />Signature <br />9• <br />Signature <br />Name <br />ti <br />Name <br />Address <br />I <br />W � <br />Address <br />Phone No. <br />I �Z Z <br />Phone No. <br />Date <br />Date <br />5. <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />