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• <br />• <br />Neighbor Signatuwe Sheet - Nekftodwod 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 />from `rwUGk I - to <br />Street Name Cross Street" CrGSS Street <br />Date of Event: <br />1. <br />Signature <br />OA a � , a <br />f <br />6• <br />Signature <br />Name <br />aUrm ���h <br />r <br />Name <br />J <br />Address <br />-1 ]� 8 g . /�/j <br />mad <br />Address <br />Z� <br />Phone No. <br />QI I <br />S 2� S(I �' �� 1 <br />Phone No. <br />IZAS <br />Date <br />Z vL <br />Date <br />2. <br />Signature <br />7. <br />Signature <br />Name <br />it9R� ACa�It�Rf}— <br />Name <br />Address <br />1342 ♦;. yvNRc�E ST, <br />Address <br />Z -F'. r' <br />Phone No. <br />�3 3 3 / s�SG3 <br />Phone No. <br />57 2-t V 9015 <br />Date <br />Z-OZy <br />Date <br />3 ZUL <br />I <br />Signature <br />0 <br />8• <br />Signature <br />c ` <br />Name <br />Name <br />s V <br />Address <br />I b 0 <br />I I M <br />Address <br />Phone No. <br />- - C 3 <br />Phone No. <br />Date <br />% 2 O;z I <br />1 <br />Date <br />20? <br />4. <br />Signature <br />V(,� <br />9• <br />Signature <br />Name <br />MA � G <br />Name <br />o A LU// Q rt YLq D-K <br />Address <br />1l 601 <br />Address <br />j S S T c e <br />Phone No. <br />r7 ^ ( S,� <br />C <br />o� <br />Phone No. <br />,5/ i - z 3 g / l G <br />(/ <br />Date <br />Q �l <br />Date <br />S. <br />Signature <br />10. <br />Signature <br />I� <br />Name <br />Name <br />Address <br />I' I ICE £ . / 1uv rpe Si . <br />Address <br />/ ( E lWoryf S " <br />Phone No. <br />jcs q . ZCz 7 _ 3c�cj ct <br />Phone No. <br />I <br />- <br />Date <br />a / 1-5 14 <br />Date <br />