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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 <br />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 <br />o <br />092°2 <br />CFRk DUHFS <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