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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 corner of"Farmington Lane". <br /> 5) The property Ta�c Key Number is 001-1001-001102 <br /> 6) The parcel is 8/l Oths 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 akeady constructed in <br /> 1959 with no new roadway(s)necessary to construct. <br /> The signatures the property owne s are below: <br /> Signed: c�....� Dated: � O p <br /> Signed: �,- � Dated: I 2� � ��-o(�� <br /> Thomas&Jane Henry <br /> 61175 Miami Rd. <br /> South Bend, Indiana 46614 � ,�.# , , <br /> ����d ��t �I�.g� � �����e <br /> Home phone#(574)291-7117 <br /> D EC — 2 2010 <br /> Tom cell phone#(574) 993-3303 <br /> ao��v����: <br /> CIT°(G��RK,S4.Ps1�D,I��. <br />