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Contact Information <br /> Property owner(s) of the petition site: <br /> Name: Prc.w.icr Dm Quad; n� Lv`sk- ucil ,/1,.1 <br /> Address LI 31 boyultc. 5� <br /> Name: <br /> Address: <br /> Name: <br /> Address: <br /> Contact Person: Pre r.1;ex- Or-Q- QvilG on,LLC <br /> Name: 1 Cv1 '16o��s.1c <br /> Address <br /> Phone Number: 571 - (400- 3 3$ lso <br /> E-mail ccci 1 c1 D as cyy\c, C--ovi-N <br /> By signing this petition, the Petitioner/Property Owners of the above described Real <br /> Estate acknowledge they are responsible for understanding and complying with the <br /> South Bend Zoning Ordinance and any other ordinance governing the property. <br /> Failure of staff to notify the petitioner of a requirement does not imply approval or <br /> waiver from anything contained within the ordinance. <br /> The undersigned authorizes the contact person listed above to represent this petition <br /> before the South Bend Plan Commission and Common Council and to answer any and <br /> all questions related to this petition. <br /> Prope er (s Sig ture <br />