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Date: <br />Angela Jacob <br />Clerk of the Board of Public Works <br />City of South Bend <br />225 West Jefferson Blvd <br />County -City Building, Room 1316 <br />South Bend, IN 46601 <br />Dear Ms. Jacob: <br />I am interested in purchasing a vacant lot, or lots, owned by the City of South Bend. The lot(s) is/are as follows: <br />Key Number: <br />Lot I 1�f-962 - l 02 <br />Lot 2 <br />Lot 3 <br />Lot 4 <br />Address: <br />f17 Gj r l/uO;Awp lqvc— <br />I own property next to this/these lot(s) ✓ <br />I do not own property next to this/these lot(s) <br />The reason for my interest in this/these lots) is to (please print): <br />ef Af ae� ml19 <br />�yI / jar okt � <br />42 <br />I understand that there is a public bidding procedure that the City of South Bend has to follow, and I further <br />Understand that in addition to the purchase cost, there is the cost of advertising the in the newspapers, both of which I <br />�,» ro�p-lbtic ror irI am u,c s..cccss Cul biddcr. I an, posting the required $100 deposit fee with this request. If <br />am the successful bidder, the $IO0 deposit will be applied towards the total sale price. If 1 do not subirur a bict on the <br />lot or lots, and if no other bids are submitted, I will forfeit the $100 deposit, which will be applied to advertising and <br />staff costs. <br />You may reach me at: Street Address </ LJ t il� L Ccd ll, <br />(Please print) <br />City & Zip:.So -ge'�j c( <br />Phone Number: ­6_7X 'g�-:k -? - A '7 <br />Sincerely, <br />F.•I,DATRIST1AREIDpiid1LmtdUsc)City -ProperlicSUA Purchase Request Form.itpd <br />