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Filed in Clerk's Office <br /> SLN 0 I ?O? <br /> DAWN Vii. JONES <br /> • - BEND, IN <br /> Contact Information <br /> Property owner(s) of the petition site: <br /> Name: ,--•'37]61 i'Vi , )115 <br /> Address: tf\'g j eg-e0A . <br /> k jQ 1 (1)(3 <br /> Name: <br /> Address: <br /> Name: <br /> Address: <br /> Contact Person: <br /> Name: hV U c\-v14 <br /> Address: 0(3"Z) <br /> Phone Number: ;J - -6O (G� <br /> E-mail: Q Lt I I f I;(0415'15' i( load. ( Cirkl <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 />