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z27 W. Jefferson - Suite 1400S <br /> City of South Bend South Bend, IN 46601 <br /> BOARD OF ZONING APPEALS zoning@southbendin.gov <br /> Petition for Variance - Special Exception <br /> Property Information O l - 5 OS 1 - ) 3 4, <br /> Tax Key Ntlrfber: 7 - C 1 ` c� O o 000 —o c.Q <br /> Address: 1.NN77 I k)• [ QCWW. C - C 41 -Rol <br /> Owner: ef),,r� 10 " <br /> Zoning: Choose the current district 1 t73 <br /> Project Summary: Wk. la 5 d, on pro ' Con n <br /> bu \v\sl,Dp, <br /> Requested Action <br /> Special Exception/ Use Variance - complete and attach Criteria for Decision Making <br /> Use requested: t' Ck( � v)eci.t,�': j En_AC-4\ <br /> f <br /> ❑ Variance(s) - List variances below, complete and attach Criteria for Decision Making <br /> Variance(s) requested: <br /> Filed in Clerk's Office <br /> 1 7 2025 <br /> Bianca Tirado <br /> City Clerk, South Bend, IN <br /> Required Documents <br /> ❑ Completed Application (including Criteria for Decision Making and Contact Information) <br /> E Site Plan drawn to scale <br /> ❑ Filing Fee <br />