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The signature(s) of all property owner(s), or Attorney for all property owner(s) <br />Signed: <br />Address: la0 97~ /~i ~ ~ c ~ r~ <br />Signed: ~~„~~ ~,~ ~,~4',~ <br />Address: <br />Phone Number: 2 q q - 8G y`/ Phone Number: <br />Name, Address & Phone Number of Contact PersonlPreparer (Please print): <br />Bill Schalliol and / or Robert Case <br />Division of Economic Development <br />1200 County-City Building <br />South Bend, IN 46601 <br />574.235.5842 (Bill) or 574 235.5836 (Bob) <br />Fi~~d tit ~l~~'i~'~ ~~fiC~ <br />"~~~' A ~ X003 <br />LO~LTTAJ. t3llFD~i -~.•. <br />CIYt' CLEF, d~. ~r~~, dew <br />