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City of South Bend <br /> BOARD OF ZONING APPEALS <br /> Petition for Variance - Special Exception <br /> Property Information ,.., <br /> Tax Key Number: �i" 403D-- 0q7 <br /> I <br /> Address: Se''(.' y, &'/.r i.'ic <br /> Owner: £ 4 U); i/1.9- S <br /> Zoning: Choose the current district <br /> Project Summary: <br /> ‘ei3 (.;)1.Urn _c si c) (isr <br /> iirs)Cf- .0 -en) e'&47\ <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 /> VA Cit-, r (-We\Un r1/0 <br /> 67L-1) $7tj — <br /> Ljc16 <br /> IpAID AUG 112022 <br /> Required Documents <br /> ❑ Completed Application (including Criteria for Decision Making and Contact Information) <br /> ❑ Site Plan drawn to scale <br /> Filed in Clerk's Office <br /> • Filing Fee <br /> StN ) 7 ?pi <br /> DAWN M.JOiNES <br /> CITY CLERK, SOLI. BEND IN E <br />