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CITY OF SOUTH BEND 227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />DEPARTMENT OF PUBLIC WORKS " SUITE 1316 COUNTY -CITY BUILDING FAX 574/ 235-9171 <br />SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 <br />Street/Alley Vacation Form <br />*THIS FORM MUST IRE REVIEWED BY THE CITY EN IINEEIRIIING DEPARTMENT PRIIOIR TO GRANTIING A RADIUS MAP* <br />Subission <br />Applicant Namee ��..-,r�v�.� ....._....._.�. <br />G 1��Y �J Phone #: 7Ci 3 y_^. b q .. ......... <br />Email: <br />Property Address <br />.3�, ❑ ...._ mmmm ..........._... �_ <br />Applicant property information: Residential Commercial ❑ Industrial <br />.........�. .........._ _ ............. <br />Describe the general alley location with boundaries (ex. J e e L1 G C � q q <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): <br />__..... ........ ... �_.....0 _ _. <br />Is your property adjacent to the alley of interest? Yes ❑ <br />Do you own all adjacent properties to the alley of interest? F� Yes No <br />............... ._. ... .._. _......— <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 alle vacation and proposed use ^To r� e <br />Y P p <br />Does the existing alley provide garage access to other property owners? ❑ Ye No _........, <br />_._ ........... _ __...... _. ..... <br />Does the alley receive daily traffic excluding your own use? Yes ❑ No <br />Wouldthevacationhinderpublic access to an of school, <br />� _...... <br />p y the following: a church, school, or any <br />other public buildingor lace? ❑ Yes F No <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: F Yes No <br />�Board of Public Works Authorized Signatures: i <br />m. <br />Version 1.0 [6/14/2016] <br />h� <br />