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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />227 W. JEFFERSON BOULEVARD PHONE 574/235-9251 <br />SUITE 1316COUNTY-CITy BUILDMG FAX 574/ 235-9171 <br />SOUTH BEND, INWANA46601 TDD 5741235-5567 <br />*TfflS FORM MUST BE REVIEWED BY TII°I!E CITY ENGINEERING DEPARTMENT PRIORTO GRANTING A RADIUS MAP"' <br />Submission Date: <br />3--2 -7 -2018 <br />Applicant Name: <br />Phone #: 3/3-7/5- <br />Email: Joe, t-)eckAer% ltv <br />Property Address: <br />7 2 0 W, <br />s 1, 13 -r 1v <br />Applicant property information: I& Residential <br />E] Commercial El Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />5v—e A 4, d M (A <br />is your property adjacent to the alley of interest? <br />Yes ❑ No <br />Do you own all adjacent properties to the alley of interest? <br />❑ 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 SQe_ C,, ft,-kylne^ <br />Reason for street/alley vacation and proposed use; <br />oI f oZ,-,`4r,,1-) 0 C- Li DI 01114- <br />c 0 <br />Does the existing alley provide garage access to other property owners? <br />Yes 10 No <br />Does the alley receive daily traffic excluding your own use? <br />Yes E] 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 />El Yes No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: Yes No <br />Board of Public Works Authorized Signatures: <br />V " J <br />4�^'4vZ,144,- <br />C61c.- <br />Version 1.0 [6/14/2016) <br />