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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />-rt�rheF 227 W. JEFFERSON BOULEVARD PHONE <br />SUITE 1316 CouN -QI BUILDING FAX <br />9 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 />Jr�u �h �^C <br />l rra i �s <br />I11i" r <br />M,'aAn ,k4 N y . q <br />Phone ff: <br />7U <br />Email: h,^ rta <br />Property Address: <br />3/5- W /.,•l rjov 54 9 �e � Z / CIbI0,40 / <br />Applicant property information: );� Residential ❑ Commercial ❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />- W a / <br />/ - S / n` <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 />❑ 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 />/ / <br />' 4 /�( �s i / ee ✓//a r4 n 4,9 61 ^rl <br />^� <br />i a l hRuv/ 4 07 ` a yorvo er wnr r <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 ®' 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 No - <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vac <br />Board of Public Works Authorized Signatures: <br />w.crpy� <br />Version 1.0 [6/14/20161 <br />