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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />-"',N"' 227 W. JEFFERSON BOULEVARD PHONE <br />SUITE 1316 COUNTY -CITY BUILDING FAX <br />SOUTH BEND, INDIANA 46601 TOO <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 />ID IZca I I (o <br />Applicant Name: <br />gebw DO&J or.IDE7"0KI <br />Ti'4 (IISZjfLI� rAUSEUAA <br />Phone M. 5 74_ 23 5 _ c3 (p(v 4 X 241 <br />Email:bant12Y50r�rpLllSiar, /nuSevmS <br />Property Address: <br />1808 W. L.J,46NINGTo>vl , SF. , .410406I <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 />E LU A661E�,r IJ0r7F-4 OF 714OMwAS S-r S OF <br />wqs Hr N GN+J , t O G L-AvaEL : �I J EPFEIIbt4 <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 ❑k 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 />ENS jRAn,Ne_g '-M N L)e_t_ VtA AND FAIZILItiIG L.0T5 - WISH -M AAAIL.E f A2lU / <br />EN-Fp. - A R )A r n t P 2u �c�In > rrs <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 vacation: PQ Ye' ` No <br />Board of Public Works Authorized Signatures: <br />SILI <br />Version 1.0 [6/14/2016] <br />