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PETITIONER INFORMATION: <br /> Name and address of property owner(s)of the petition site: <br /> City of South Bend Park Department Board of Park Commissioners of South Bend <br /> 321 East Walter Street 321 East Walter Street <br /> South Bend, Indiana 46614 South Bend, Indiana 46614 <br /> 574-299-4765 574-299-4765 <br /> E-Mail Address:N/A E-Mail Address:N/A <br /> Department of Redevelopment <br /> Suite 1400 South-County-City Building <br /> 227 West Jefferson Boulevard <br /> South Bend, Indiana 46601 <br /> 574-235-5836 <br /> E-Mail Address:N/A <br /> Name and address of additional property owners, if applicable: <br /> Name and address of petitioner(s), if different than the petitioner): <br /> Name:N/A <br /> Address <br /> City, State Zip Code <br /> Phone number with Area Code <br /> E-Mail Address <br /> Name and address of additional property owners, if applicable: <br /> CONTACT PERSON: <br /> Michael Danch-Danch, Harner&Associates, Inc. <br /> 1643 Commerce Drive <br /> South Bend, Indiana 46628 <br /> 574-234-4003. <br /> nidanch@danchharner.com <br /> BY SIGNING THIS PETITION,THE PETITIONERS/PROPERTY OWNERS OF THE ABOVE- <br /> DESCRIBED REAL ESTATE AUTHORIZE THAT THE CONTACT PERSON LISTED ABOVE MAY <br /> REPRESENT THIS PETITION BEFORE THE AREA BOARD OF ZONING APPEALS AND COUNTY <br /> COUNCIL AND TO ANSWER ANY AND ALL QUESTIONS RELATED TO THIS PETITION. <br /> Signature(s)of all property owner(s): <br /> SEP 1 42010 <br /> ___._ _'j <br />