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City of South Bend 227 W. Jefferson - Suite 1400S <br /> South Bend, IN 46601 <br /> BOARD OF ZONING APPEALS zoning@southbendin.gov <br /> Petition for Variance - Special Exception <br /> Property Information �` / <br /> -`y <br /> Tax Key Nu ber: 0 " V)1 1 dQ <br /> y ,� <br /> Address: q3 q <br /> Owner: ge /I44e ?roper Ai LLC . <br /> Zoning: Choose the current distfictU I <br /> Project ummary: • <br /> 'The 5c 19/04 iS 'ac) s,,.ie <br /> /'o�paSeparadc o�r�,iS iris on;/ <br /> - /no 4c <br /> /ay 1,417- Akdimic/) /.10,K1 a s„f/c vv,/ n6e a .0444 via44,11,7 r <br /> Requested Action <br /> Eecial Exception — complete and attach Criteria for Decision Making <br /> Use requested: U n,{ CkliOU <br /> ❑ Variance(s) - List variances below, complete and,a tach Criteria for Decision Making <br /> Variance(s) requested: <br /> Required Documents <br /> ❑ Completed Application (including Criteria for Decision Making and Contact Information) <br /> ❑ Site Plan drawn to scale <br /> ❑ Filing Fee <br />