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<br />FENCE PERMIT APPLICATION <br /> <br /> <br />PROPOSED <br />PROJECT <br />ADDRESS: <br /> <br /> <br /> <br /> <br /> Address City Zip Township <br /> <br />ZONING: OVERLAY/NNZO: ☐ ☐ HISTORIC DISTRICT: ☐ ☐ <br /> Yes No Yes No <br />PROPERTY OWNER: <br />PHONE NUMBER: <br /> <br /> EMAIL: <br />MAILING ADDRESS: <br /> <br /> <br /> <br />Address City State Zip <br /> <br />PROPOSED NEW FENCE VALUATION: $ <br /> <br />NEW FENCE HEIGHT: <br />Front Yard (ft) 1st Side Yard (ft) 2nd Side Yard (ft) Rear Yard (ft) Other (ft) <br /> <br /> <br />NEW FENCE MATERIAL (e.g. wood, vinyl, aluminum): <br /> <br />NEW FENCE TYPE: <br /> 70% or more open Less than 70% open Mix of 70% open and less than 70% open <br /> e.g. chain-link, split rail e.g. privacy, chain-link with privacy slats * Indicate locations of each type on site plan <br /> <br />NEW FENCE LOCATION: <br />*SHOWN ON SITE PLAN Front Yard 1st Side Yard 2nd Side Yard Rear Yard Other <br /> <br />VARIANCE, SPECIAL USE/ EXCEPTION APPROVAL DATE, IF APPLICABLE*: <br />*PLEASE PROVIDE APPROVAL LETTER <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />1721 East Wayne Street South Bend 46615 Portage <br />SF1 <br />Patrick Deegan / Karrie Koesel <br />(574) 343-9570 pwdeegan@gmail.com <br />1721 E Wayne St. South Bend IN 46615 <br /> $2,000 <br />70 ft. <br /> wood <br /> X <br /> X <br />4 4