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Name: <br />Address: <br />City, State, Zip: <br />Telephone: <br />31. Please indicate the name, address, and telephone number of the person who <br />will work with Employment Training Services (ETS) for employee recruitment, <br />and sign the ETS form attached to the petition if the real tax abatement is for <br />warehouse or industrial developments. <br />Name: <br />Address: <br />City, State, Zip: <br />Telephone: <br />WHEREFORE, Petitioner requests that the Common Council of the City of South <br />Bend, Indiana, adopt a declaratory resolution designating the area described herein <br />to be an economic revitalization area for purposes of tangible real property tax <br />abatement consideration, and after publication of notice and public hearing, <br />determine qualifications for an economic revitalization area have been met, and <br />confirm such resolution. Petitioner herein hereby verifies that the required $250.00 <br />filing fee to cover processing and administrative costs pursuant to Section 2 -84.7 of <br />the Municipal Code of the City of South Bend has been paid in full. <br />Name of Property Owner(s): <br />T <br />By: <br />(Signed Name) <br />(Typed or printed name and capacity of signor if <br />signed by an agent or representative of the <br />owner.) <br />(Rev 12/29/06) <br />