Laserfiche WebLink
• a <br /> City of South Bend 22'7 W. Jefferson - Suite 14005 <br /> 6601 <br /> BOARD OF ZONING APPEALS SouthBend, IN endin <br /> zoninq@southbendin.gov <br /> Petition for Variance - Special Exception <br /> Property Information <br /> ©I 4o3)-- Qq <br /> Tax Key Number: <br /> Address: --5e)6, ye OZ/Of <br /> Owner: k 4_ U);f/1:4,-. S <br /> Zoning: Choose the current district <br /> Project Summary: <br /> £do I fain /,4 �r SS✓e <br /> 450' 6 /1)eril- <br /> ,,e_fr-cr <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 /> C A ag\OJil j[ECCY1/0 <br /> 67z-b T70 - <br /> (jc ?L <br /> PAID AUG171012 <br /> Required Documents <br /> ❑ Completed Application (including Criteria for Decision Making and Contact Information) <br /> El Site Plan drawn to scale <br /> El Filing Fee f=iled in Clerk's Office <br /> FEY 0 7 ?0?.? <br /> • <br /> 6-AWN-A.JONES <br /> CICLERKSOIJTHBJ <br />