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Name: ~~~~tv.iS ~ ~~\~..~,~~~, <br />Address: ~ao~. ;. \.,~~b~~~-~.-~\,ra- ~t,;.. ~ <br />City, State, Zip: ~ov+-l~ ~~~ ~'~, ~~~'a~~° i <br />Telephone: r~~ y _ ;~~~ _ ,~ X03 <br />31. Please indicate.the name, address, and telephone number of the person who <br />will work with Employment Training Services (ETS) for employee recruitment, <br />and sign the ETS form attached to the petition if the real tax abatement is for <br />warehouse or industrial developments. <br />Name: J ~~~ ~- ~~C ~ we <br />Address: \oc~~ 5~ ~~~ ~L ~.tt~ ~7 v~-~ . !~E . j <br />City, State, Zip: 5~:,~~• ~~.N a, ~'' '`4 c~c~ ~ t <br />Telephone: 5~u~ ~~,~{- ~~(~ <br />WHEREFORE, Petitioner requests that the Common Council of the City of South <br />Bend, Indiana, adopt a declaratory resolution designating the area described herein <br />to be an economic revitalization area for purposes of tangible real property tax <br />abatement consideration, and after publication of notice and public hearing, <br />determine qualifications for an economic revitalization area have been met, and <br />confirm such resolution. Petitioner herein hereby verifies that the required $250.00 <br />filing fee to cover processing and administrative costs pursuant to Section 2-84.7 of <br />the Municipal Code of the City of South Bend has been paid in full. <br />Name of Property Owner(s): <br />~~ <br />~~~- <br />By: <br />,__ , igned Name) <br />.(Typed or printed name and capacity of signor if <br />signed by an agent or representative of the <br />owner.) <br />Ft{ed Its ~!~~~'~ ~}fic~ <br />JUN 3 0 2068 <br />JC,~t3 VCDF;DE <br />CITY CI.E~X, E0. Bii+D, I?d. <br />(Rev 8/11;00 7 <br />