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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />227 W. JEFFERSON BOULEVARD PHONE <br />_ SUITE 1316 COUNTv-OTv BDuowe Fm <br />SOUTH BEND, INDIANA 46601 TOO <br />574/235-9251 <br />574/ 235-9171 <br />574/ 235-5567 <br />Submission Date: <br />SI (ipI Ito <br />Applicant Name: <br />MQY a RcLfatj <br />Phone #: - 2 <br />/� 39- <br />lyuY(llaza <br />Email: <br />a9a e- 3 a44-toe$ <br />Property Address: <br />VV <br />9801 ``1 �l�er4 51T <br />Applicant property information: ® Residential ❑ Commercial ❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />�S QSCA� 0 zSJJ <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />cY� <br />l2 s'� v e 2 f p P✓�5 fJ <br />Is your property adjacent to the alley of interest? <br />N,Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? <br />❑ Yes N No <br />If no, provide the following <br />Name: NCwarm , Fje M tSC<) <br />information for all affected <br />46, 619 <br />Address: 815 S. W&kvw.+t Sou (- I <br />property owners: <br />Consent for the proposed alley vacation: ❑ Yes ❑ No <br />Name: W Co%I QwSIt..J , G(,2�Lnow,�F <br />Address: l I tS li b le 1 S a v}� U'p-'s 41ee l$ ^ ,, <br />Consent for the proposed alley vacation: ❑' Yes ❑ No <br />Name: Wa.l lCowla,tC..� 17�4n..1E-I <br />Address: S12-2 GoPP�F�td Dl.E. Soo �j/o1o14 <br />uv <br />Consent for the proposed alley vacation: El Yes Yes No <br />Name: <br />Address: <br />Consent for the proposed alley vacation: ❑ Yes❑ No <br />Reason for street/alley vacation and proposed use: r tom, r Un <br />� <br />1 / IS We <br />Ij <br />a mn <br />9a w a <br />K(as d� <br />il) 5-a 1 4 � � li� ,. <br />, <br />Does the existing alley provide garage access to (ther property owners? <br />❑ Yes No <br />Does the alley receive daily traffic excluding your own use? <br />❑ Yes No <br />Would the vacation hinder public access to any of the following: a church, school, or any <br />❑ Yes No <br />other public building or place? <br />Board of Public Works Authorized Signatures: <br />M-k• <br />Version 1.0 [6/14/2016) <br />