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City, State, <br />Telephone <br />Zip <br />VMEREFORE, Petitioner has paid the required fee of $So.00 and requests that the Common Council of <br />the City of South Bend, Indiana, adopt a declaratory resolution designating the area described herein as a <br />residentially distressed area for the purposes of real property tax abatement consideration, and after <br />publication of notice and public hearing, determine that the qualifications for a residentially distressed <br />area have been met and confirm such resolution. <br />Name of Property Owner(s): <br />By:— 4a <br />(Signature) <br />(Typed or printed name and capacity) <br />MCM IJ <br />EP Z i 2.010 <br />Ci :riK,!7, F Div 1,11. <br />