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I iled in Clerk's Office <br /> 0 5 202? <br /> DMN M.JONES <br /> CITY CLERK, SOUTH BEND,IN <br /> Contact Information <br /> Property owner(s) of the petition site: <br /> Name: t�A LUwu'�G� <br /> Address: jLj cl &4_�)2N <br /> Name: <br /> Address: 3 - <br /> el- <br /> Name: <br /> Address _- - -- - <br /> Contact Person: <br /> Name: <br /> Address: <br /> Phone Number r?7� �� 7741) <br /> E-mail k•l,+,V" MA.elt-Q _ t_it--lCM <br /> By signing this petition, the Petitioner/Property Owners of the above described Real <br /> Estate acknowledge they are responsible for understanding and complying with the <br /> South Bend Zoning Ordinance and any other ordinance governing the property. <br /> Failure of staff to notify the petitioner of a requirement does not imply approval or <br /> waiver from anything contained within the ordinance. <br /> The undersigned authorizes the contact person listed above to represent this petition <br /> before the South Bend Plan Commission and Common Council and to answer any and <br /> all questions related to this petition. <br /> Property Owner (s) Signatures: <br /> i <br />