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JUL 5 2012 <br /> CITY OF SOUTH BEND <br /> PETITION FOR REAL PROPERTY TAX ABATEMENT CONSIDERATION <br /> The undersigned owner(s) of real property, located within the City of South Bend, hereby <br /> petition the Common Council of the City of South Bend for real property tax abatement <br /> consideration and pursuant to I.C., 6-1.1-12.1-1, et seg., and South Bend Municipal Code <br /> Sec. 2-76 et seg., for this petition state the following: <br /> 1. Describe the proposed redevelopment or rehabilitation project, including information <br /> about physical improvements to be made,the proposed use of the improvements,and <br /> a general statement as to the importance of the project to your business: <br /> PE Z- <br /> Land Size j. Z acres; Building Size _sq.ft. <br /> 2. Describe the overall nature of the business and of the operations occurring at the <br /> Property (Pleasp attach an additio-n�/-al sheet if or space is needed): <br /> Ile <br /> 3. Estimate the dollar value of the project (excluding land): $ <br /> 4. The current assessed valuation of the real property before rehabilitation, <br /> redevelopment, economic revitalization, or improvement is: $�� <br /> (This information may be obtained from the St. Joseph County Assessor's Office 235- <br /> 9557.) <br /> 5. (a) The real property for which tax abatement consideration is petitioned(Property)is <br /> owned or to be owned by the following individual(s) or corporation(s) (if the <br /> business organization is publicly held, indicate also the name of the corporate <br /> parent,, if any, and the name under which the corporation has filed with the <br /> Securities and Exchange Commission): <br /> A4 VA,NAME ADDRESS INTEREST %) <br /> 15.' <br /> (Rev 5/13111) 1 <br />