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7 <br />0, 3 2,01"T, <br />C Y OF SOUTH BEND 227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />DEPART NT OF PUBLIC WORKS <br />SUITE 1316 CouNTY-CiTy BUILDING FAX 574/ 235-9171 <br />F <br />1� SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 <br />Clay Vacation Form r <br />:*THiS FORM MUS'r IBE REVMWED BYTHE crry ENGMEERIING DEPARTMEN'r PRIOR TO GRANTING A RADIUS MAP* <br />Submission Date: <br />Applicant Name: <br />Phone. #1 <br />Email: <br />In -4 <br />r 0�h <br />Property Address: <br />r Q0 <br />Applicant property information: Residential ❑ Commercial ❑ <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />Industrial' <br />Is your property adjacent to the alley of interest? <br />Ez-Yes F-1 <br />No <br />Do you own all adjacent properties to the alley of interest? <br />El Yes <br />U' <br />No <br />If no, use thie attached table to provide the following information for all affected property owners: Name, Address, Consent <br />for the proposed alley vacation 131 � ( I-S, It - i!(J. V <br />Reason for street/alley vacation and proposed use: <br />i 17v% 5, G -) tv <br />ci,o-z <br />4w�)" <br />y ek to h-91) <br />Does the i alley provide garage a&ess to other property owners? <br />EY' Yes <br />F-1 No <br />Does the alley receive daily traffic excluding your own use? Q S') 4 <br />Yes <br />❑ 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 />E] Yes <br />N o EEf <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley va <br />Board of Public Works Authorized Signatures - <br />I <br />Version 1.0 (6/14/2016] <br />