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Cornpletebelow for Real or Personal PropertyTax`A6atement only.' <br /> Please sign for all requested incentives. <br /> Pubic Benefit Item: <br /> 4nfrm�a6tas feFgijred on both the construction compar�e5and the <br /> ^ tai htch will provide materials purchased forthlls project. <br /> quali Earned Points Available Points <br /> �P12a �rJtpletetheiablebelowwiththeappropnatemfoktnation. If (yes or No) <br /> nat <br /> "lp c�tta�l fol�ibep911t5pleaseentertttteufWlamount�F�avaitable <br /> .vx-.s�`�a�����''g-c��#,.Points ..'�ri�Y.�F,�•.� <br /> 20 20 <br /> � �� h` rctJaae�Ptaterra�lioc�tOrP?5u�s�7 20 <br /> C RegG,tepf )nnde;itt�;rctrnss� 20 19 <br /> C. Squire revailTng:i�Lag E vlsy ) y3 r D. <br /> Requ_m Health benefits - 22 <br /> F Reau(re.Pension 2enefts - - - - 1 16 <br /> Maintain Affirmative Action Plan: <br /> k Y <br /> 1 5a @taut Cn nstru Rion Related: 141 <br /> x r4 <br /> <fi{ o- <br /> Y6 Waee&Benefrt-Related(Owner): <br /> pay"fargetVYage ieveis " <br /> 33 33 <br /> © Pronde Health Benefits - 34 <br /> Y 29 29 <br /> 28 28 <br /> ems '. 15 <br /> F Provl9ildtare <br /> Pr wide„q.2 nsportati on Assists rn_e <br /> G Prnv:de Em ploye r Assisted-Hocsing Prog ram 9 <br /> f ` Sub total Wage&BenefrtRelated: i62 <br /> 3 Warkforce Related: <br /> A create New Jobs - - 42 42 <br /> 41 <br /> 6 - Retain-E?iisting lobs- - - <br /> 35 <br /> C. Maintain AfffrrnatisP Actim Plan <br /> 12 Prc.ide Targeted Hiring Preferenzz <br /> Sutr-total Workf6rce Related: �� --- <br /> .4 SuCPort a Municipal Facility: <br /> _ supp "aSBNgnicipalFaci;:y(dc _a^c;isto:ls <br /> A. - - zoo;cc-.serratory;museum,e'c.l E= <br /> - - - Name cf Faciiit,” <br /> " - Sub-total Municipal Facility-- - t <br /> MR, - - <br /> -Sub-total from Above, <br /> =7he undersigned owners)of real property,located within the City of South Bend,herby petition the Common Council of the City <br /> oJ_South Bend for a real andfor personal property tax abatement consideration and pursuant to I.C.,6-1.1-12.1-1,et sea.,and <br /> South Bend Municipal Code Sec 2-76 et seg. for this petition state the above. <br /> r Submitted By:'` n Date: ovem er 2&-, 7 <br />