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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />", <br />,�it0 <br />4 fro 6 <br />227 W. JEFFERSON 13OULEVARD PHONE 574/ 235-9251 <br />SUITE 1316 COUNTY-CiTy BUILDING FAX 574/ 235-9171 <br />W1 'A <br />P _lZb SOUTH BEND, NOMA 46601 TDD 574/ 235-5567 <br />111111011111 <br />*THIS FORM MUST BE REVIEWED BYTHE 011Y ENGINEERING DEPARTMENT PRICIRT01 GRANTING A RADIUS MAP* <br />Submission Date: <br />Applicant Name: <br />Phone, <br />5-rf 3 <br />Email: <br />Property Address: <br />Applicant property information: Residential El Commercial El Industrial <br />Describe the general alley location with boundaries (ex, <br />Church PI, between E, Colfax Ave & E. LaSalle Ave): <br />`ateCA14C-1 <br />Prwr�- C -,, <br />Is your property adjacent to the alley of interest? <br />Yes <br />No <br />Do you own all aidjacent properties to the alley of interest? <br />Yes ❑ <br />No <br />If no, use the attached table to provide the following information for all affected property owners: Name, <br />for the proposed alley vacation <br />Address, Consent <br />Reason for street/alley vacation and' proposed use:,-T b <br />r 0 ow- �U e P:g_ <br />Does the existing alley provide garage access to other property owners? <br />El Yes <br />[y, No <br />Does, the alley receive daily traffic excluding your own use? <br />El Yes <br />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 />Yes <br />19 No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: Yes F1 No <br />Board of Public Works Authorized Signatures: <br />.. ... ....... ..... .... .. .... <br />L <br />?or-\ <br />Version 1.0 [6/14/2016] <br />