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C� <br />• <br />Neiahbor Sianature 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: /1 from S f �i ?✓t to S • ilbFit DQ N <br />Street Name Cross Street Cross Street <br />Date of Event•. &�obot 6� 20Z3 <br />1. <br />Signature <br />C <br />6• <br />Signature <br />Name <br />Name <br />Address <br />` <br />d <br />Address <br />Phone No. <br />rI _ 2,7 -1 - -7506 <br />Phone No. <br />Date <br />T <br />5 1 _ O'Q -Z' <br />Date <br />2. <br />Signature <br />7. <br />Signature <br />Name <br />// <br />ROpu v6e <br />Name <br />Address <br />d ri `%o�S�N /✓ <br />Address <br />Phone No. <br />S 7 _ - <br />Phone No. <br />Date <br />LY <br />Date <br />3. <br />Signature <br />8• <br />Signature <br />Name <br />I�I�� w <br />Name <br />Address/(� <br />it / <br />!J G <br />Address <br />Phone No. <br />. /, LD / <br />5-7 �/�l <br />Phone No. <br />Date <br />m <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />IIL n< <br />"!C)N <br />Name <br />Address <br />/A1V��`°� <br />Address <br />Phone No. <br />-S- <br />_ G'� / IO_, ( C't <br />Phone No. <br />Date <br />r �^ <br />o� <br />Date <br />S• <br />Signature <br />10• <br />Signature <br />Name <br />�tu <br />Name <br />Address <br />ay 1 ♦) (�.t.,. <br />7 •J �`Y V�rO+r-`'w��q^ <br />Address <br />Phone No. <br />4 <br />Phone No. <br />Date <br />.� <br />2.� <br />Date <br />