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"k,xw <br />CITY OF SOUTH BEND 0,w ,f 227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />DEPARTMENT OF PUBLIC WORKS SUITE 1316 COUNTY Ciro BUILDING Fax 574/ 235 9171 <br />SOUTH BEND, INDIANA46601 TDD 574/ 235-5567 <br />Street/Alley Vacation Form , <br />°THIS FORM UST IBIN. REVIEWED BY THE CITY EN IINIfr.Ifr.IRIINC DEPARTMENT PRIOR TO GRANTING A RAl."N IS I ARA <br />�_ ...... <br />Submission Date: .........__ <br />c� Z Lo 1 Z C.) f <br />Applicant Name: L( �2 0`�y E-to Phone#: c" <br />l t-)riy- 2i:1- �3UJ <br />Email: E- `i iU chi R7E'ii� (�%cc C-v rY1 <br />Property Address: -� <br />!(/�;" s- ouvc- ter. <br />Applicant property information: ❑ Residential ❑ Commercial Industrial <br />Describe the general alley location with boundaries (ex. C'C- 115 : L& Ci & L ►V <br />Church PI, between E. Colfax Ave & E. LaSalle Ave): C, �,�7C(? <br />_....._ _....._ _. ....... . <br />Is your property adjacent to the alley of interest? � Yes El No <br />Do you own all adjacent properties to the alley of interest? 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 <br />vacation and proposed use:� � ` <br />W� .�� r %, rwY Mere))Nhl��tC <br />.......... ...... ................ <br />Does the existing alley provide garage access to other property owners? ❑ Yes No <br />.....W........ ..... _..._.. _. <br />Does the alley receive daily traffic excluding your own use? ❑ Yes No <br />..._ .......................................... .... ......_ ._...... <br />Would the vacation hinder public access to any of the following: a church, school, or any ❑ Yes No <br />other public building or place? <br />OFFICE USE ONLY: <br />Board Recommendation for the proposed alley vacation: F Yes No <br />Board of Public Works Authorized Signatures: „ <br />Version 1.0 [6/14/2016] <br />