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Contact Information <br /> Property owner(s) of the petition site: <br /> Name: /VUt m`C4,4v �` A Z-- <br /> Address: St`t109 l��Ce, fG�oll fit` <br /> _ LN 'l6,53-6 <br /> Name: i,1.7A F. 4`c Al v1 D <br /> Address: f �1- LA/Do zt ltey Gt <br /> 5 .3 .S— <br /> Name: <br /> Address: <br /> Contact Person:n <br /> Name: 2G rtr,„A.„d-e -2-- <br /> Address: 5101(,H t-(40 knoll Ct • <br /> �1ra n�v� p\I ues3 <br /> Phone Number: Lf c l7 <br /> E-mail: fYtIi bv�a, fi a / vAlt 11 • LD A^ rGt►t-I.414fe 1 r.1 I-co , <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 /> 9o/ Vr--- 31 ate zy <br /> G• <br />