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----------------------------------------------------------------------- <br />Application to Purchase/ <br />Request For Temporary Use <br />Of City -owned Property <br />Clerk of the Board of Public Works <br />City of South Bend <br />; <br />227 West Jefferson Blvd <br />County -City Building, Room 1316 <br />' <br />South Bend, IN 46601 <br />1 am interested in (circle one) Purchasing I -]Temporary Use <br />' <br />of vacant lot or lots owned by the City of South Bend. The lot (s) is/are as follows: <br />' <br />Parcel I <br />Tax lD Nzruzber- I �$ - 5Q q�— �359 + Address: [. 2 O wR rE 1 <br />; <br />1 own property next to this lot Yes- No <br />Parcel 2 <br />Tax 1D Nzunber_• - - -- — - —� Address: <br />I own property next to this lot Yes No <br />e reason for my interest in this/these lot (s) is to: <br />of no <br />, - <br />� L—'ft7r �ly t'►'tigh1� >7gr�'{te�.- ��t �'� - <br />r I understand that there is a public bidding procedure that the City of South Bend must <br />follow for the sale of city -owned property, and I further understand that in addition to <br />f <br />the purchase cost, there is the cost of advertising in the newspapers, both of which I am <br />; <br />responsible for if 1 am the successful bidder. I am posting the required $100 deposit fee <br />payable to the On of South Bend with this request. If I am the successful bidder, the <br />$100 deposit will be applied towards the total sale price. If I do not submit a bid on the <br />lot or lots, and if no other bids are submitted, I will forfeit the $100 deposit, which will <br />be applied to advertising and staff costs. There is no deposit required fa- a request for <br />the temporary use of City -owned property. <br />I further represent that 1 do not currently owe any delinquent taxes, assessments, penal- <br />' <br />ties, interests, or costs attributed to a tax sale of real property, either in St. <br />' <br />Joseph County or in any other County in the State of Indiana. <br />You may reach me at (Please Print): <br />; <br />Street Addressiq E - SOv S� City & Zip: <br />Phone Number: (S?4 - Z g 6 9^ b printed Name: �0 L r s j <br />X V' Nq�1��1 <br />Signature <br />, <br />, <br />-------------------------------------------------------------------------- <br />