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ENCROACHMENT APPLICATION <br />f� City of South Bend - Board of Public Works <br />227 W . Jefferson Boulevard, Ste. 1316 <br />2865 <br />South Bend, IN 46601 <br />PROPERTY OWNER INFORMATION: <br />Name of Business/Homeowner: River Park Neighborhood Association (RPNA) <br />Address: 505 S. 30th Street <br />City/State/Zip: South Bend, IN 46615 <br />Phone: 716-512-0931 Email: Cheryl Walsh <cwlshc@gmail.com> and River Park <sbriverpark@gmail.com> <br />ENCROACHMENT INFORMATION: <br />Location of Encroachment: Various along Mishawaka Ave and Pleasant Ave <br />Encroachment Description: <br />CL Road to R/W Line: <br />Distance of R/W: <br />Please see attached documentation <br />INSTALLER'S INFORMATION: <br />Business Name: US Signcrafters <br />Address: 216 Lincolnway East <br />Size of Encroachment: <br />Amount in R/W: <br />City/State/Zip: Osceola, IN 46561 <br />Phone:574.674.5005 Email: info@ussigncrafters.com <br />Signature: <br />Printed Name: Angela Black <br />INCLUDE THE FOLLOWING ITEMS WITH YOUR APPLICATION: <br />0 Photos of the area where encroachment will take place. <br />0 Plans and Specifications <br />0 Completed Agreement <br />AFFIRMATION <br />I, the undersigned do hereby certify and affirm that all the information given in this <br />application is accurate and correct. I understand that encroachments must in no way impair <br />the highway or free and safe flow of traffic thereon and may be revoked at any time. <br />Signature of Applicant: <br />RPNA A,01t,)4 <br />Printed Name of Applicant: River Park Neighborhood Association <br />Date: 8/3/2023 <br />