Laserfiche WebLink
CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />N!, <br />t, 227 W.JEFFERSON BOULEVARD PHONE <br />SUITE 1316 COUNTY -CITY BUILDING FAX <br />SOUTH BEND, INDIANA 46601 TDD <br />574/ 235-9251 <br />574/ 235-9171 <br />574/ 235-5567 <br />*THIS FORM MUST BE REVIEWED BY THE CITY ENGINEERING DEPARTMENT PRIOR TO GRANTING A RADIUS MAP* <br />Submission Date: <br />Applicant Name: <br />Fro y) C ) S co Q ,y)-i -2-.1 <br />Phone ft: <br />Email: <br />Property Address: <br />Applicant property information: ❑ Residential ![Commercial <br />❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />!i)- <br />S b f U)45+-N Ld CQ <br />W -/ --.'`^L+ 4 I <br />�I <br />QS A 1t <br />I`1❑ <br />Is your property adjacent to the alley of interest? <br />El <br />Yes N <br />Do you own all adjacent properties to the alley of interest? <br />Yes ❑ No <br />If no, use the attached table to provide the following information for all affected property owners: <br />Name, Address, Consent for the proposed alley vacation <br />Reason for street/alley vacation and proposed use: <br />C4,L2 <br />Does the existing alley provide garage access to other property owners? <br />❑ Yes No <br />Does the alley receive daily traffic excluding your own use? <br />❑ Yes 3—N-o <br />Would the vacation hinder public access to any of the following: a church, school, or any <br />other public building or place? <br />❑ Yes [No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vai <br />Board of Public Works Authorized Signatures: <br />Version 1.0 [6/14/2016) <br />