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Fiscal <br />City of Sr <br />Use <br />Statement <br />Fonn Updated 3/2013 <br />Pursuant to Section 6 -37.2 of the South Bend Municipal Code entitled "Accountability of <br />Government Actions on Buildings Declared Vacant or Abandoned ", the following information is filed <br />and verified to be true and correct regarding the proposed structure to be demolished: <br />Street Address /Zip Code: <br />Council District: <br />Property classified by the City as: _ Abandoned _ Vacant <br />Affected Neighborhood: <br />Summary of reasons for demolition: <br />Explanation of why said property could not be rehabilitated: <br />Agencies /Entities contacted regarding potential rehabilitation: <br />Proposed Date of demolition: <br />Entity to perform demolition: <br />Cost of proposed demolition: <br />Funding source(s) <br />Balances for each funding source before demolition(s) <br />Proposed reuse of property following demolition [Per Figure 70, page 53 of vacant & Abandoned Properties Task Force Report] <br />Conservation Area _ Stabilization Area <br />Revitalization Area Reinvestment Area <br />Explanation of reuse chosen <br />Cost to reuse property post -demc <br />Funding source(s) for such reuse <br />The proposed demolition will be the demolition in this Council District this year. <br />?6pAk9da td Red this day of 20 <br />Fiscal Analyst Department of Code Enforcement <br />