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Contact Information <br /> Property_owner(s) of the petition site: <br /> 1 <br /> Name. 1 % ?J ker <br /> Address: ?B5 jQ <br /> t ,'') Ck-k i .0,\ 1.--V\C 40gc-4- <br /> Name: <br /> Address. <br /> Name <br /> Address _ <br /> Contact P rson: tki <br /> Name _ 1 `�100ke r <br /> Address: H 19 Pie- t �' <br /> `- <br /> ) .h 1 E-)IfACUCi _ <br /> -yvt_ <br /> Phone Number.) ! i u7 0.7j —167 t <br /> E-mail <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 /> Filed in Clerk <br /> i <br /> Property Owner (s) Signatures <br /> i NOV 07 2023 j <br /> 7e-in -za/z /.% e- '-2/ i <br /> DER PI r� _._ ,, <br /> 1 CITY CLERKS IN <br />