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Cityof South Bend cc'7 W. Jefferson - Suite 1400S <br /> South Bend, IN 46601 <br /> PLAN COMMISSION zoning@southbendin.gov <br /> Subdivision Application <br /> Property Information <br /> Tax Key Number: 018-5105-3686, 018-5105-3687, and 018-5105-3688 <br /> Project Summary <br /> Subdivison Name: <br /> Total Area of Subdivision: Number of Buildable Lots: 4 <br /> Average Lot Size: Number of Lots in original plat: 3 <br /> Linear Feet of New Streets: 0' <br /> Requested Action <br /> Application includes (check all that apply) <br /> ✓❑ Subdivision <br /> Subdivision Type: Minor Subdivision <br /> ❑ Waivers from Chapter 21-11 - List waivers below <br /> ❑✓ Rezoning — complete and attach rezoning application <br /> ❑ Special Exception — complete and attach Criteria for Decision Making <br /> Use requested: <br /> ❑Variance(s) - List variances below, complete and attach Criteria for Decision Making <br /> Variance(s) requested: <br /> Required Documents <br /> Completed Application <br /> Plat Containing all information shown on pages 3 and 4 of this application <br /> =Proof of Ownership <br /> Filing Fee <br /> _Additional documents as noted above <br /> ❑Approved drainage plan verification (for major subdivision only) <br />