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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />ourMe` <br />227 W.IEFFERSON BOULEVARD PHONE 574/235-9251 <br />SUITE 1316 COUNTY -CITY BUILDING FAX 574/ 235-9171 <br />SOUTH BEND, INDIANA 46601 TDD 574/235-5567 <br />IX6i <br />*THIS FORM MUST BE REVIEWED BY THE CITY ENGINEERING DEPARTMENT PRIOR TO GRANTING A RADIUS MAP* <br />Submission Date: <br />Applicant Name: <br />�W <br />G �D Phone .✓"�i� G7sj 0Q <br />/ro <br />Email: eoMAZald�haopw- a X Cpoe+ <br />Property Address: <br />I/ / <br />5 /LLhr 3» S tc5tlj'%�0 nC o� (� (o (p <br />Applicant property information: Residential <br />C��o//mm/e}}rcial/ ❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />j <br />(( SOu+h at'" Sh�.�d CC/'a5T p? <br />/ <br />cCht S� <br />;�"6 gaS) ©n , Aat^ 5 J <br />Y �(W ( <br />Is your property adjacent to the alley of interest? <br />Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? <br />I Ll Yes W No <br />If no, use the attached table to provide the following information for all affected proper owners: / I <br />Name, Address, Consent for the proposed alley vacation([/ , / SO Jlixa2 1 4) <br />Pd„j1t,.,9 <br />L}O <br />Reason street/alley vacation and proposeduse/: In ObT�i✓7 446 RPesSaer cs�� bkk I <br />�9! <br />ifor <br />' t� kon -0-/Ma er,4evl' L e, e4 <br />Does the existing alley provide garage access to other property owners? <br />❑ Yes [q <br />No <br />Does the alley receive daily traffic excluding your own use? <br />❑ Yes <br />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 <br />No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: <br />Board of Public Works Authorized Signatures: <br />❑ Yes <br />No <br />Version 1.0 [6/14/20161 <br />