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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />" �tq " 227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />SUITE 1316 COUNTY-Ciry BUILDING FAX 574/ 235-9171 <br />SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 <br />*TFUS FORM MUST BE REVIEWED BYTHE CITY ENGINEEMNG DEPARTMEN'TPRIOR TO GRANTING A RADIUS MAP'* <br />Submission [Date- <br />Applicant Name: <br />-Z,'s - � 3 <br />tune W 1�'rv*�vk Phone # '(51H) <br />Emaill., <br />Property Address: <br />Al, F-Imey-St- <br />Applicant property information: M Residential E] Commercial E] IndustrW <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />lrkrs�- F_W pt-ey NoT+VN o� TRrx� , ecao-C Omer — <br />Is your property adjacent to the alley of interest? <br />Yes F1 No <br />Do you own all adjacent properties to the alley of interest? <br />D Yes Ej- No <br />If no, use the attached table to provide the following information for all affected property owners: Name, Address, Consent <br />for the proposed alley vacation <br />Reason for street/alley vacation and proposed use: <br />uyiuwA a0r, mploRin(e—aA- 3 <br />Does the existing alley provide garage access to other property owners? <br />Yes [2r No <br />Does the alley receive daily traffic excluding your own use? <br />El Yes E?" No <br />Would the vacation hinder 1public 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 />-goord-Recommeffd-aTto—n-To-r-th"ropos-ed-affeyvacati-on--------...._yes-- <br />Board of Public Works Authorized Signatures: <br />Ver,Mon 1,0 [6/14/20161 <br />