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,„,c.sh 4 <br /> CITY OF SOUTH BEND ,• 4,4 227 W.JEFFERSON BOULEVARD PHONE 574/235-9251 <br /> DEPARTMENT OF PUBLIC WORKS .17 t 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 BE REVIEWED BY THE CITY ENGINEERING DEPARTMENT PRIOR TO GRANTING A RADIUS MAP* <br /> Submission Date: Dee. 1 2 -z i <br /> Applicant Name: Lc,R-i It, yC �i Phone#: c� <br /> :��y- bbl- t�3GJ <br /> Email: L'`� c belle -e-C)111 <br /> Property Address: I <br /> s. G'cave sGIt'�1 t7 Clue 1� lit le) 3 <br /> Applicant property information: ❑ Residential <br /> ,,�� EI Commercial IX Industrial <br /> ZT <br /> Describe the general alley location with boundaries(ex. f iec--4 1 5 UL h Ci t , w S-r!' c-F b L V E <br /> Church PI,between E.Colfax Ave& E. LaSalle Ave): r191Z6A '3 co / <br /> Is your property adjacent to the alley of interest? N. Yes ❑ No <br /> Do you own all adjacent properties to the alley of interest? Nt 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: Lt c <br /> Does the existing alley provide garage access to other property owners? ❑ Yes No <br /> Does the alley receive daily traffic excluding your own use? ❑ Yes X 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 V No <br /> OFFICE USE ONLY: <br /> Board Recommendation for the proposed alley vacation: C @jk's3Office <br /> Board of Public Works Authorized Signatures: DEC 1 4 2018 <br /> KAREEMAH FOWLER <br /> CITY CLERK,SOUTH BEND,IN <br /> Ce <br /> tcy-- <br /> Lz-• pele-juio 44)&6 <br /> vuv) rsion 1.0[6/14/2016] <br /> yI, <br />