Long Term Occupancy Permit - Beacon Memorial Walsh Construction

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.1-1-117r-i Fr1 . City of South Bend Public Works u rd Phone: 574.235.9251 Engineering Division 227 W. Jefferson, County City Building 1316 Fax: 574.235.9171 South Bend, IN 46601 1830 %. Email:rowpermitsoffice@southbendio.gov CURB CUT APPLICATION Requires 3 WORKING days minimum for review by Engineering Division prior to Construction Submission Date: Z -7 Applicant Name: (-1,e1j-4 Contact Information (Phone and Email): Property Address: G/s, / /tic P J .� .�;.•�� _ r,-/ 3160d / /Kn 14AI L a. , 4 { Type of Curb Cut: ❑ Residential Driveway ❑ Commercial Driveway - 24' Maximum Width ❑ Alley Approach - 14' Typical Width ❑ 10' (Single) Industrial Driveway - 30' Maximum Width ❑ 16' (Max Width) .2'YcA/s•S' Complete each item: 1. Does the existing lot meet setback requirements for the governing district? 101yes ❑ No 2. For lots being improved, has a variance been granted from the Board of Zoning Appeals? FN/A ❑ Yes ❑ No 3. Are there any intersections within 50' of the proposed residential drive? ❑ Yes 2r No (Industrial approach requires 100' distance from intersections) Provide Proximity 4. Are there any obstructions near the drive? (i.e light poles, hydrants etc.) If so, list here: 5. Does the existing property have access to garage via an alleyway? 6. Does the proposed work meet clear sight area requirements? Additional Comments: ❑ Yes 0 No ❑ Yes [f No 21Yes ❑ No Drawing of proposed work must be included with this application "Contractor bonded with Public Works shall pull a permit for construction work in the Right of Way ENGINEERING OFFICE USE ONLY: ❑Approved []Approved as Noted ❑Denied as Noted ❑Traffic Study Required Comments: Date: Engineering Division Authorized Signature --New engineering review and approval required after 3 months if no permit has been issued for work - Version 2.1 [1/15/2021]