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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />227 W. JEFFERsoP4 BOULEVARD PHONE 574/ 235-9251 <br />Sucre 1316 COUNTY-OTY BUKDING FAX 574/ 23S-9171 <br />SOUTH BEND, iNDIANA46601 TDD 574/ 235-5567 <br />1410 <br />I+Hs F ("' F"'04 6d/W151 'kkk: REViEM-,D B'Y I HE 01V DEPARTNIENT "I r) GWflV1"RJ(3 t F1,ArALIS MAF"" <br />Submission Date: <br />Applicant Name: <br />M <br />Phoned:, 7b - Z 7 <br />5q <br />Property Address: <br />M K <br />Applicant property information: E] Residential Commercial industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />ut �Ou'-P-i C)F .5AMCC- e" v6ftlk) <br />A�;'T -10 (111 E-' T I cifI(/ N 0 <br />��AV <br />Is your property adjacent to the alley of interest? <br />P Yes No <br />Do you own all adjacent properties to the alley of interest? <br />ZJ Yes 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 />10 vfe: u <br />Does the existing alley provide garage access to other property owners? <br />EI Yes No <br />Does the alley receive daily traffic excluding your own use? <br />E] Yes 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 />F1Yes No <br />P-9,1 <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: 0 Yes rJ/No <br />Board of Public Works Authorized Signatures: <br />Version 1,0 [6/14/20161 <br />