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The signature(s) of all property owner(s), or Attorney for all property owner(s) <br />Signed: <br />Address ~~ ~~ ~~~ G~ ~ ' <br />~ ~~~ Q-~~~ ~~ <br />~~ ~ <br />Signed: <br />Address: <br />Phone Number:S~~~ ~~7 ~~~~ <br />Phone Number: <br />Name, Address & Phone Number of Contact Person/Preparer (Please print): <br />Larry Magliozzi <br />Division of Community Development <br />City of South Bend <br />1200 County-City Building <br />South Bend, IN 46601 <br />235-5550 <br />Find in CI2ri~'s ~lffice <br />J U i.. 0 ~ Z000 <br />~oAI:TTA ~. u~os, <br />CITY CLERK, 80. I~~l~D, i~E. <br />