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Contact Information <br /> Property owner(s) of the petition site: <br /> Name: Ej(4 4 :i)) �►?'� <br /> r <br /> Address: ii;i 6 (141+0�-r �c'1 Pr. <br /> )60,k) ,-\ted Jti(. 46.4031 <br /> Name: <br /> Address: <br /> Name: <br /> Address: <br /> Contact Person: ++ 11 <br /> Name: �/ 1a W;/ 1(0,�:; C/evi l�� (feKck„,,4-) <br /> Address: 1 ggCi f S'� � <br /> a U I� 3 49 '15�'c�oC-1.44 <br /> 56' k,d-f ) T-,vt. 6(4)--? \ TY(2kci 1-/-6.(017 <br /> Phone Number: 541� -3ql40N1 : f c( — — 66 r,110 <br /> E-mail: 44 kit. 11.)60"'‘T 6-3 /l/ouQ. X601 <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 />