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City of South Bend 227 W. Jefferson - Suite 1400S <br /> IN 46601 <br /> BOARD OF ZONING APPEALS South Bend, <br /> zoning@southbendin.gov <br /> RECEIVED MAR 0 6 2023 <br /> Petition for Variance - Special Exception <br /> Property Information <br /> Tax Key Number: 017 -7Cs 1 - II cn <br /> Address: _I(._-@O� 3 �� t(Aida <br /> Owner: ✓ M � o P « C <br /> Zoning: Choose the current district rJ C <br /> : <br /> Project Summar A <br /> 1 Y �f �'J �rovS ,(4''C(. e E g fG <br /> pS <br /> t / 4 <br /> Requested Action <br /> IA Special Exception — complete and attach Criteria for Decision Making <br /> Use requested: 2i ccuy c ,c c€ <br /> Variance(s) - List variances below, complete and attach Criteria for Decision Making <br /> Variance(s) requested: <br /> Vac-11-6 1,0 - -c 9\` nec` Cocn-ems cQCA <br /> RequiredAocuments <br /> •mpleted Application (including Criteria for Decision Making and Contact Information) <br /> IN Site Plan drawn to scale P A 1 ID <br /> ❑ Filing Fee 5 1 - k) <br /> Per I U''' <br />