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Neighbor 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 />rOC from to ry Est <br />Street Name Cross Street Cr s Street <br />Date of Event: <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />/ �% All <br />Name <br />Address <br />2 N� On�O <br />J5 <br />Address <br />Phone No. <br />7 3 J�y / <br />Phone No. <br />Date <br />�7� b� , Z 9 <br />/ <br />Date <br />2. <br />Signature <br />7. <br />Signature <br />Name <br />/ <br />Name <br />Address <br />Address <br />Phone No. <br />- /,J�7 <br />l / <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />B. - <br />Signature <br />Name <br />Name <br />Address <br />3/ f� L <br />btu <br />Address <br />Phone No. <br />S- J i / (Pt � <br />4 <br />Phone No. <br />Date <br />l� `� <br />Date <br />4. <br />. <br />Signatureeb"d9. <br />Signature <br />Name <br />pt, c�...a� Dive+oc. <br />Name <br />Address <br />1434 F, rte. ne Sl- <br />Address <br />Phone No. <br />(S74) Zit- y492 <br />Phone No. <br />Date <br />7/7/z4 <br />Date <br />S� <br />Signature <br />, / <br />f /l•C <br />10. <br />Signature <br />Name <br />Name <br />Address <br />/ 6 1K 4( o Z�T <br />Address <br />Phone No. <br />�� <br />Phone No. <br />Date <br />Date <br />