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Cfty of South Bend <br /> BOARD OF ZONING APPEALS <br /> Petition for Variance - Special Exception <br /> Property Information <br /> Tax Key Number: q 77 5 <br /> Address: <br /> Owner: tJye Wl I er <br /> ra4e j' f`)/ C Of'j?gel n V <br /> Zoning: Choose the current district <br /> Project Summary: <br /> Con yAf <br /> , <br /> �er��/I a-' 5-tn Fo-M� y <br /> �OKC tO 6� <br /> Requested Action <br /> ❑ Special Exception — complete and attach Criteria for Decision Making <br /> Use requested: <br /> ❑ Variance(s) - List variances below, complete and attach Criteria for Decision Making <br /> Variance(s) requested: <br /> Filed in Clerk's Office <br /> MAR U 8 2022 <br /> 4 pq'W N P�1.JOf��S <br /> CITY CLERK,SOUTH BEND,IN <br /> Required Documents <br /> ® Completed Application (including Criteria for Decision Making and Contact Information) <br /> Site Plan drawn to scale <br /> ❑ Filing Fee <br />