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r <br />r ~, <br />2 <br />SUBJECT TO ALL LEGAL HIGHWAYS, EASEMENTS AND RESTRICTIONS OF RECORD. <br />Dated this 28TH day of AUGUST, 2006. <br />Board of Zoning Appeals of the <br />City of South Bend, Indiana <br />125 South Lafayette Blvd. <br />Suite 100 <br />South Bend Indiana 46601 <br />Secretary to the Board <br />TO THE PETITIONER: It is your responsibility to complete this form correctly and <br />deliver it to the Secretary to the Board of Zoning Appeals with the other papers <br />at the time of original filing. Once it is signed by the Secretary, then it is <br />your responsibility to make arrangements to have publication of notice made in a <br />local newspaper having general circulation in St. Joseph County. Such notice <br />must be published one (1) time, the first publication being at least ten (10) <br />days prior to the date on which the public hearing is to be held. Proof of <br />publication must be presented to the Board at the time of the public hearing.) <br />