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PETITION FOR THE VOLUNTARY ANNEXATION <br />INTO THE CITY OF SOUTH BEND, INDIANA <br />I (We) the undersigned, make application to the Common Council of the City of South Bend, <br />Indiana, for the voluntary annexation of land to the City of South Bend, Indiana, for land in <br />German Township, St. Joseph County, Indiana, and in support of which Petition allege(s) <br />and affirm(s) as follows: <br />1) (We) am/are the owner(s) (hereinafter "petitioner" or "petitioners") of a parcel of <br />land more particularly described in Exhibit "A". <br />2) Petitioner(s) desire that the parcel be annexed to the City of South Bend, Indiana, <br />by proper ordinance. <br />3) This Petition is signed by at least (CHECK ONE): <br />X_ a. one-hundred percent (100%) of the owners of the land in the territory <br />sought to be annexed; OR <br />b. fifty-one percent (51 %) of the owners of the land in the territory sought to <br />be annexed; OR <br />_ c. the owners of seventy-five percent (75%) of the total assessed value of the <br />land for property tax purposes. <br />4) The property sought to be annexed is generally located at: #### block of Olive <br />Rd. <br />5) The Property Tax Key Number is: <br />04-1011-0179 <br />6) The name and address of the contingent purchaser(s), if applicable, is/are: <br />City of South Bend for the use of the Department of Redevelopment <br />227 W Jefferson, Suite 1200 S <br />South Bend, IN 46601 <br />7) The parcel is .37 acres in size and currently has the following use(s) on <br />it: <br />Farmland, Residential <br />8) The parcel will be used for the following use(s): Right of Way <br />Revised 12/04 <br />