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r. <br /> ...-. Ci of South Bend LTJ1 Fl <br /> OCT 1 2 2018 City "t,� <br /> Petition for Incentives t <br /> t '111 .,: <br /> Petition must include a$250 filing fee payable to the City Clerk's Office or online via the City's website at tabs ` <br /> http://southbendin.gov/government/content/tax-abatement before processing can be complete <br /> General Information Project Name Dairy Queen 1 Project Number <br /> Legal name as registered with Secretary of Nilkanth LLC. <br /> State <br /> Business structure Resturant <br /> Company website www.Dairyqueen.com <br /> Proposed Project Information <br /> Proposed project address 14836 Western Ave Parent company name <br /> City,State,Zip South Bend, IN 46619 Legal owner Nilkanth Properties LLCp <br /> Site acreage or acreage requiredIs the real estate owned or Owned <br /> 1 Acre leased <br /> Square feet of facility 3000 Square Feet If leased by whom N/A <br /> Primary Contact Information <br /> Primary company contact name Vandna Patel Title President <br /> Address of company contact 12422 State Road 23 Phone 574-327-9994 <br /> City,State,Zip Email Vandna@michianadq.com <br /> Granger, IN 46530 � <br /> Senior Official Information <br /> a <br /> Company senior official name Vandna Patel TitlePresident <br /> Address of company contact(if different from N/A Phone 574-327-9994 <br /> above) Email <br /> City,State,Zip IN/A N/A <br /> Consultant Information/Agent <br /> Hired business consultant/agent name IN/A Consultant release(Y/N) IN/A <br /> Address Local economic development partners IN/A <br /> N/A approval(Y/N <br /> City,State,Zip N/A Email (Y/N1, <br /> Project Overview <br /> Brief description of your <br /> company,project,and why the <br /> property is necessary for We are planning to build Dairy Queen Grill & Chill 3000, Square feet <br /> economic growth standing building with Drive thru that will provide service to resident of <br /> Western Ave and surrounded area. We will employ 45 Employees, which <br /> consist of 20 full time and 25 part time along with 4 full time <br /> management positions. We will build State of the art facility, which will <br /> draw people into the area. This will give opportunity to community and <br /> people in the area to walk to work and make a better living without <br /> transportation. Our vision is to create a place for family comes to <br /> celebrate, a place to be. <br /> Certified Technology Park appropriate N/A <br /> Is the project in a Tax Incremental Financing N/A <br /> (TIP 1 area? If so,which? <br /> Certify that the Building Permit has not been N/A Number of residential units created by IN/A <br /> issued(Y/NI !Number <br /> If this is a petition for personal property tax abatement,has IN/A <br /> the equipment been installed <br /> Investment Details <br /> Public Infrastructure needs(Off- Has any 504 funding been What is the value of any equipment being purchased in What <br /> isthe <br /> froalvalue <br /> ofany <br /> out of eeuipthentbeingproj ? <br /> site of project in dollars) received? Indiana for the project? purchased <br /> 0 0 $90,000.00 $330,000.00 <br />