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QTY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />Street/Alley Vacation Form <br />227 W, JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />SUITE 1316 COUNTY-OTY BUILDING FAX 574/ 235-9171 <br />SOUTH BEND, INDIANA46601 TDD 574/ 235-5567 <br />*THIS FORM MUST BE REVIEWE11) BY TIHE CITY EN&NEERiNG DEPARTMENT PRIOR TO GRANTING A RADIUS MAP* <br />Submission Date: <br />9/27/18 <br />Applicant Name: <br />Maria Dill <br />Phone #.- 574-303-2383 <br />Email: <br />Property Address: <br />1625 Randolph Street <br />Applicant property Information, nM Residential E] Commercial E] Industrial <br />Describe the general alley location with boundaries (ex. <br />Church PI, between E. Colfax Ave & E. (LaSalle Ave): <br />See Attached Map <br />Is your property adjacent to the alley of interest? <br />Yes No <br />Do you own all adjacent properties to the alley of interest? El Yes ❑ No <br />If no, use the attached table to provide the following information for all affected property owners., Name, Address, Consent <br />for the proposed alley vacation <br />Reason for street/alley vacation and proposed use: <br />Alley is blocked to through traffic with structures and fences already, trashed cars are stored in alley. <br />Does the existing alley provide garage access to other property owners? <br />X Yes ❑ No <br />Does the alley receive daily traffic excluding your own use? <br />❑ Yes No <br />Would the vacation hinder public access to any of the following: a church, school, or any <br />other public building or place? <br />❑ Yes No <br />OFFICE USE ONLY. <br />Board Recommendation for the proposed alley vacation: E] Yes No <br />Board of Public Works Authorized Signatures: <br />Version 1.0 [6/14/2016) <br />