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• <br />• <br />• <br />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: n 4 from t � G- to d, S <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 />Address <br />Phone No. <br />-71R <br />Phone No. <br />Date <br />I _ <br />Date <br />2 <br />Signature <br />7. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />3. <br />Signature <br />8. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />4. <br />Signature <br />9. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />5- <br />Signature <br />10. <br />Signature <br />Name <br />Name <br />Address <br />Address <br />Phone No. <br />Phone No. <br />Date <br />Date <br />