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MOVING PERMIT APPLICATION (RESIDENTIAL) <br />ST. JOSEPH COUNTY CITY OF SOUTH BEND BUILDING DEPARTMENT <br />APPLICANT INFORMATION DATE: 01/26/2024 <br />APPLICANT: Garry Potts <br />ORG/BUSINESS: <br />PHONE: 5742290635 <br />EMAIL: gpotts@professionalpermits.com <br />ADDRESS: 58171 Dragonfly Ct <br />Osceola IN <br />46561 <br />Address <br />City State <br />Zip <br />PROPERTY OWNER: GREYSTONE DEVELOPERS LLC <br />PHONE: 574.329.0743 <br />EMAIL: jp@7.diamonds <br />ADDRESS: 1130 South Bend Ave Ste 350 <br />South Bend IN <br />46617 <br />Address <br />City State <br />Zip <br />PROJECT INFORMATION <br />STRUCTURE BEING MOVED FROM: 1006 St. Vincent St, South Bend, IN <br />TO: 1105 N Foster St, South Bend, IN <br />DIMENSIONS OF STRUCTURE WHEN MOUNTED (please note dimensions of ALL structures separately): <br />LENGTH: 40' <br />WIDTH: 30' <br />HEIGHT: 36'+ <br />WEIGHT: 200,000 <br />AXLE SPACING: see drawing <br />PROPOSED ROUTE: <br />FROM: St. Vincent St TO: N Foster St <br />FROM: TO: <br />FROM: TO: <br />FROM: TO: <br />FROM: TO: <br />FROM: TO: <br />MOVING CONTRACTOR: Wolfe House Mover of IN Ilc <br />*Must provide Certificate of Insurance showing requirements as listed in the City or County Code or Ordinances <br />I certify the above to be true and accurate to the best of my knowledge. <br />01 /26/2024 <br />APPLICANT SIGNATURE DATE <br />Garry P Potts II <br />PRINT NAME <br />VERIFY CONTACT IF DIFFERENT THAN APPLICANT EMAIL <br />PHONE <br />EXCELLENCE ACCOUNTABILITY I INNOVATION I INCLUSION I EMPOWERMENT <br />125 S. Lafayette Blvd. Suite 100 South Bend, Indiana 46601 p 574.235.9554 l f 574.235.5541 I www.southbendin.gov <br />-20- <br />