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• <br />• <br />• <br />Neighbor Signature Sheet - Neighborhood Soecial 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: //y�J I _ / l <br />from C 11VC' c5� togCL�CQ [ , <br />Street Name Cross Street Cross Street <br />Date of Event: <br />1. <br />Signature <br />6. <br />Signature <br />Name <br />Name <br />Address <br />e , <br />Address <br />�1 <br />cir&ee L <br />Phone No. <br />K ,6 p (� <br />Phone No. <br />C, <br />J J <br />Date <br />D <br />Date <br />2 1l <br />c� 1 <br />2. <br />Signature <br />Pa <br />7. <br />Signature <br />Name <br />Name <br />A� <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />D .._, a G C/457 <br />Date <br />3. <br />Signature <br />8• <br />Signature <br />Name <br />Name <br />Address <br />Crra6e 5 , <br />Address <br />O <br />Phone No. <br />5 s-v <br />Phone No. <br />Date <br />3 / 1 o /�r0 <br />Date <br />4. <br />Signature <br />®® <br />9. <br />Signature <br />Name <br />Name <br />Address <br />y /` <br />Address <br />Phone No. <br />7Y 65 .7 7 a <br />' <br />Phone No. <br />� f_ <br />T SA <br />Date <br />to <br />Date <br />5. <br />Signature <br />10. <br />Signature <br />Cl �6%i <br />Name <br />- <br />Name <br />�— ^ <br />rr4 CC' 6v! 6Z <br />Address <br />Address <br />O <br />Phone No. <br />Phone No.1(691) <br />© d- <br />Date <br />Date <br />