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10) The anticipated "build-out" year for the project: 2007 <br />11) The proposed number of parcels: <br />12) The proposed miles of new roadways: <br />The signature(s) of all property owner(s), or Attorney for all property owner(s) <br />~ C' <br />Signed:C~~~~~ Signed: 1~ ~~ ///~~/'"'/~ <br />Address: 25509 Brick Road Address: <br />South Bend, IN 46628 <br />Phone Number: 574-272-9257 Phone Number: <br />Name, Address & Phone Number of Contact Person/Preparer (Please print): <br />Nicholas Witwer <br />City of South Bend Department of Community and Economic Development <br />227 W. Jefferson Suite 1200 S. <br />South Bend, IN 46601 <br />574-235-5836 <br />Revised 12/04 <br />,.~ <br />~`t Qt~,w <br />AU ~ _ 9 2006 <br />~o~~+ra voo eE A ~. <br />Cin CLEnK, <br />