Laserfiche WebLink
CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />227 W. JEFFERSON BOULEVARD PHONE <br />SUITE 1316 COUNTY -CITY BUILDING FAX <br />s •' • 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 />1 15' 1(a <br />Applicant Name: <br />ANbaE-) plal <br />Phone#: S74-i93 -18-73 <br />Email: FIut= n v c.ICle g) 9 vna_il, (,Om <br />Property Address: <br />71-7 4-14 -7Z1 E-1n4DIat-jA <br />Applicant property information: N Residential ❑ Commercial ❑ Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />1 SL N S b LLEY W O F 14161-I 5 1 7 A/ oL= <br />E (ND/aNA ALE, 6 0G- `ANP--/E7TA <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 />11LLE/ INVID 5 OwNE)Z- Two Lois <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 ZJ 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 />