Special Event - Fun in the Park - July 6

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C , J • 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 Nock party in the area described as: i from Nlawc�e5�e,/ to Sheet Name Cross Street Cb6ss Street Date of Event: V Q 6 Z 1. Signature 6. Signature Name Name Address `8/ Address Phone No. Phone No. Date Date Z. Signature 7. Signature Name Name Address Address Phone No. Phone No. Date J 3. Signature / ` v., ,/r� D I _ - B. Signature g Name Name Address (/� ``il Address Phone No. L,�I Z7 y —113 6 Phone No. Date Li _ 7-4Date 1 4. Signature `�L ✓ _ lina AIPY 9_ Signature -- - - -- - -- Name Name Address Address Phone No. Phone No. Date i �Q Date 1 5. Signature -- -_—.. _ 10. Signature Name Name Address Address Phone No. Phone No. Date Date