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Contact Information <br /> Property owner(s) of the petition site: <br /> Name: , Y\G / 0 <br /> 016\y: <br /> Address: 5"► ( €-( _ . ff <br /> t_y_ Lftf- <br /> Name <br /> Address <br /> Name, <br /> Address: <br /> Contact Person: <br /> Name: `.-0 1iJ►. j I\ <br /> Address: .� ( UMU 0_,\ O i a I <br /> 1 A _ ilk L5I _ ' lA d <br /> Phone Number: ,C7D \ -C) <br /> T i1 S <br /> E-mail: /d <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 /> X(71-I d Gdt/ -'L/eZ_, <br /> Filed in Clerk's Office <br /> JUL 13 ?I17.1 <br /> CITY C E K SOUTTH BEND,IN <br />