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Filed in Clerk's Office <br />APR 05 2017 <br />KAREEMAH FOWLER <br />CITY CLERK, SOUTH BEND, IN <br />CITY OF SOUTH BEND �At'k4ti. 227 W. JEFFERSON BOULEVARD PHONE 5741235 -9251 <br />Y.. "_•' <br />DEPARTMENT OF PUBLIC WORKS SurrE1316000NTY-CrrrBunDING FAX 574/235.9171 <br />�' -; <br />;d �q�.., � • SOUTH BEND, INDLAM46601 TDD 574/ 235 -5567 <br />Street /Alley Vacation Form <br />*THIS FORM MUST BE REVIEWED BYTHE CITY ENGINEERING DEPARTMENT PRIOR TO GRANTING A RADIUS MAP" <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: [Yes ❑ No <br />Board of Public Works Authorized Signatures: <br />L- <br />Verslon 1.0 (6/14/20161 <br />