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Contact Information <br /> Property owner(s) of the petition site: <br /> ` ` �. <br /> Name: -1-,47- 6 A e c,,, L <br /> Address: /07-<- V ta, -"h v_-- <br /> L ; /, , C 0 fv/ 2 2 <br /> Name: <br /> Address: <br /> • <br /> Name: <br /> Address: <br /> Contact Person: <br /> Name: C ( 4`. 4. f 9 ff / <br /> Address: /4' c�D Z 1 Ovi� ,is.�- $/vo' <br /> So '// OSe I, /iv 7 ‘1/_3 <br /> Phone Number: -5— 7' 2 0 - 0 3 <br /> E-mail: <br /> /' OSS ---5---‘a `°27ii 1°D , 6Orte. <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 /> 7 ,i,.,_,/,- , / tefe4 Pit/ �i'-&u7. /2 <br />