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PETITION TO VACATE PUBLIC RIGHTS-OF-WAY <br /> (STREETS/ALLEYS) <br /> TO THE COMMON COUNCIL DATE: June 21,2012 <br /> OF TRIG CITY OT SOUTH BEND, INDIANA <br /> I (WE), THE UNDERSIGNED PROPERTY OWNER(S), PETITION YOU TO VACATE: <br /> A. THE ALLEY DESCRIBED AS: <br /> The first Noilh/South alley West of Michigan Street frown Madison Street North to the first <br /> East/West alley and the First East/West alley North of Madison Street beginning 6 feet West of <br /> the First North-South alley Wcst of Michigan Street to the West Michigan Street right of way. <br /> B. THE STREET DESCRIBED AS: <br /> N/A <br /> NA 1 (signed & printed) ADDRESS LOT# <br /> 615 N. Michigan Street, South Bend, Indiana 159-161 & <br /> .Leff Costello, Chief Financial Officer 163-166 <br /> Beacon Health System <br /> Signature <br /> Printed Name and Title <br /> Signature <br /> Printed Name and Title <br /> CONTACT PERSON (S) <br /> NAME: James Lietzan <br /> RE'T'URN TO: <br /> OFFICE OF THE CITY CLERK ADDRESS: 2211 E. Jefferson Blvd. <br /> JOHN VOORDE,CITY CLERK South Bend, IN 46615 <br /> ROOM 455-COUNTY-CITY BUILDING <br /> SOUTH BEND, IN 46601 <br /> 574.235-9221 PHONE: 574-236-4400 <br /> Clerkys <br /> jug- <br /> Cfry'=4 g <br />