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Contact Information <br />Property owner(s) of the petition site: <br />Name: ,Y\G 0 016\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 <br />I\ <br />Address: . ( UMU 0_,\ O i a I <br />1 A _ilk L5I lA d <br />Phone Number: C7D C) <br />Ti1 S <br />E-mail: <br />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