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Contact Information <br />Property owner(s) of the petition site: <br />Name: il)TE L 7ILSI Ltd <br />Address: LI(OO Le(a. FAV- WilLf <br />miSVOILOVIKrA , IN uc)Sc( S <br />Name: <br />Address: <br />Name: <br />Address: <br />Contact Person: <br />Name: <br />rya v‘0 <br />Address: <br />0,4-V 3e v.4 , TW, 966 (`-( <br />Phone Number: <br />t-/ S-G 3 S52 <br />E-mail: c)c;V 77 m aC_o trv-\ <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 thus 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 />A11/)0 Ct ( crt-- incl J o LLL