Laserfiche WebLink
CITY Of SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />oGSHB <br />it 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 />I 1 118 I 1 (p <br />Applicant Name: <br />"Dave �, 'DuBa's , , <br />�I'�G7-LY0-F �c�.t'Fict <br />S13 CiIr11G <br />Phoneft: <br />/� <br />Email: =ULx6 oo(PSou-N� Llet,14 C:IIYI IG,C <br />Property Address: <br />7-1 1 f . Ed d St. S O U+fl Fj�« 4/a (p 1 -] <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 />N IS 112 W E <br />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 />® 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 />A <br />`-to ror <br />`\'e S��YY1l Sr$l D✓� ch28v-I U'r'c l OrtQLv�d.,n aa- 41,12 L14sGyt <br />n-1 <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 />El yes ® No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vac <br />Board of Public Works Authorized Signatures: <br />Version 1.0 [6/14/2016] <br />