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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 <br />Bend, Indiana, for the voluntary annexation of land to the City of South Bend, Indiana, <br />for the land in Centre Township, St. Joseph County, Indiana, and in support of which <br />Petition allege(s) and affirm(s) as follows: <br />1) We are the owners, petitioners Thomas W. Henry & Jane M. Henry of parcel <br />of land more particularly described in Exhibit "A„ <br />2) Petitioners desire that the parcel to be annexed to the City of South Bend, <br />Indiana, by proper ordinance, <br />3) This petition is signed by 100% of the owners of the land in the territory <br />sought to be annexed. <br />4) The property sought to be annexed is generally located at 61175 Miami Road <br />at the southwest comer of "Farmington Lane ". <br />5) The property Tax Key Number is 001 - 1001 - 001102 <br />6) The parcel is 8 /10ths of an acre in size and currently being use as a residential <br />family dwelling and will have no plans to change this status. <br />7) The number of current residents in this annexation area is (1) one family of 5. <br />8) This is only (1) one parcel # 01- 1001 - 001102 of land already constructed in <br />1959 with no new roadway(s) necessary to construct. <br />The signatures the property own s are below: <br />Signed:,---),- <br />igned: ) �.• Dated: <br />Signed: - "4 `-� Dated: ! <br />Y Li <br />Thomas & Jane Henry <br />61175 Miami Rd, <br />South Bend, Indiana 466I4 <br />Home phone # (574) 291 -7117 <br />Tom cell phone # (574) 993-3303, <br />Fired In Clerk's Office <br />DEC - 2 2010 <br />JOHN VOME <br />WY CURK, SO. PESD IN. <br />