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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: <br /> Address: - v - - ' .. • —- - .UUc t <br /> Owner: 1-VZ4--/ 1vC� -w i, t3 <br /> Zoning: Choose the current district <br /> Project Summary: <br /> Requested Action <br /> Special Exception - complete and attach Criteria for Decision Making <br /> Use requested: Vi,kceervkC, . ck11-11-cl1r <br /> _ Variance(s) - List variances below, complete and attach Criteria for Decision Making <br /> Variance(s) requested. <br /> c o� 092°2 <br /> CFRk DU H FS <br /> Required Documents <br /> ❑ Completed Application (including Criteria for Decision Making and Contact Information) <br /> ❑ Site Plan drawn to scale PAID <br /> II Filing Fee <br /> SEP 1 5 2022 <br /> Per �"6 <br />