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CITY OF SOUTH BEND *'Llh" <br />0� 227 WJEFFERSON BOULEVARD PHONE 574/235-9251 <br />DEPARTMENT OF PUBLIC WORKS SUITE1316COUNTY-CITY BUILDING FAX 574/235-9171 <br />Street/Alley Vacation Form.,; SOUTH BEND, INDIANA 46601 TOO 574/ 235-5567 <br />ur3 <br />*THIS FORM MUST BE REVIEWED BY THE CITY ENGINEERING DEPARTMENT PRIOR TO GRGNTINr n aenuic RA An* <br />Submission Date: <br />Se } 2's �016 <br />Applicant Name: <br />Phone#: Zgq_gZSS <br />rQr` �Ir1Gt8�2 <br />Email: <br />Property Address: <br />I <br />$31 pa el~ ,¢vC nr'4 r SO ui'4, �enA I� J&bI(o <br />Applicant property information: ® Residential ❑ Commercial ❑ Industrial <br />Describe the general alley location with boundaries <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />PaikfNenv'L oeiween lZjver5%de oral ma,itp�, <br />�PAS>•• -WGS i allt� <br />Is your property adjacent to the alley of interest? <br />,� Yes ❑ No <br />Do you own all adjacent properties to the allof 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 />6rf 4riie -lno close tv rh hobs e, qnd unw-4a in in wirrle r. d .0 ne�hbarp,.. <br />wvvI& 4e to tmen mtp l4w,n AAJ JArdeo. <br />Does the existing alley provide garage access to other property owners?, pne WMp vrarj <br />Ir vacs <br />® Yes E]No <br />Does the alley receive daily traffic excluding your own use? <br />,E] Yes ❑ No <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 ,[X� No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: <br />Board of Public Works Authorized Signatures: <br />VYes ❑ No <br />Version 1.0 [6/14/20161 <br />