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Contact information <br />Property owner(s) of the petition site: <br />Name : Lt tvA,,,., li f\0 (., o <br />Address : l.o Is '$. W -. ('(!V' <br />Name : <br />Address: _________________________ _ <br />Name : <br />Address : _________________________ _ <br />Contact Person: <br />Name : <br />Address: __ (o-----'I s=---~-· ...... W~Q.'-'-( ......... r ...c..(..lt\,.__._ ____________ _ <br />P ho ne Num be r: 5 7 '/ 5'~ 't 5 7 J / <br />E-ma il : L~Jtt ..\,t1·\fl'J (2. ow.~1l , COM <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 repr se fft.ltl;y,r fli 11 1or;i . <br />before the South Bend Plan Commission and Common Council an to a swe ari ~a Office <br />all questions related to this petition. <br />Property Owner (s ) Signatures : oc 1 u 1-0'L!. <br />DA _9ITYCLr <br />--, <br />I <br />D,IN