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City of South Bend Instructions:Complete pages 1-3 i f*to <br /> AND the proper Form SB-1 for + a <br /> Petition for Incentives the type ofabatement(real <br /> property or personal property) 4 .1u <br /> Petition must include a$250 filing fee payable to the for which you are applying. �' <br /> "City of South Bend"before processing can be complete <br /> General Information Project Name Project Number <br /> Legal name as registered with <br /> Secretary of State Cross Community, Inc <br /> Business structure CDC-Domestic Nonprofit Corporation <br /> Company website https./Imycrosscommunity.org <br /> Proposed Project Information <br /> Proposed project address 1728 Harrison Ave Pa rent company name <br /> City,state,Bp South Bend, IN 46616 Legal owner Cross Community, Inc <br /> Site acreage or acreage required 0.12 <br /> 12 Is the real estate owned Owned <br /> or leased? <br /> Square feet of facility n/a if leased,by whom? <br /> Primary Contact Information <br /> Primary company Contact name Tina Patton Tide President <br /> Address of company contact 707 Sherman Ave Phone 574-876-2106 <br /> City,State,➢p South Bend, IN 46616 Email <br /> Senior Official Information <br /> Company senior official name Title <br /> Same as above <br /> Address of company contact Phone <br /> (If different from above) <br /> City,State,Zip Email <br /> Consultant Information/Agent <br /> Hired business consultant/agent name Consultant release?(Y/N) <br /> Address Local economic development partners <br /> approval?(Y/N) <br /> City.State.Zap <br /> Email <br /> Project Overview <br /> Brief description of your <br /> company,project,and why the We will build one (1) new home that will be between 1390-1620 sq ft <br /> property Ls necessary for with 3 bedrooms, 2 bathrooms, with a garage. <br /> economic growth <br /> Certified Technology Part appropriate VA <br /> lithe project in a Tax incremental Financing River West <br /> UM)area?Hsi,which? <br /> Have Building Permits been issued?(Y/N) Number of residential unitscrented by , <br /> (Note Nat eligible for abatement HYc) N PfO)c _ .._ <br /> If this is a petition for personal property taw abatement,has �.A <br /> the equipment been installed? <br /> Investment Details <br /> Public btfrastructrue needs Has any 504 funding been What is the value at wry equipment being purchased In What Is the value of any equipment being <br /> (Off-site of project in dollars) received? Indiana for the project? purchased from out at state for the protect? <br /> I Filed in Clerk Office <br /> MAY 0 8 2024 <br /> Bianca Tir;icj , <br /> City Clerk, South Caul Id, IN <br />