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^' c^uth Bend 227 W. Jefferson - Suite 1400S <br /> City "' ' ' South Bend, IN 46601 <br /> BOARD OF ZONING APPEALS zoning@southbendin.gov <br /> Petition for Variance - Special Exception <br /> Property Information <br /> Tax Key Number. q--1 D 3- 1 S 0 20• 0o o - 26 <br /> Add 1101 >�I<< sfi SO CJ fA & c( j -pGZe <br /> Ov r,err^ ( 101 E (�i J stre-tfi rtrgirt] Cal2E2 k i-SA! ' 'v4✓� <br /> Zoning: Choose the current district "1-v stce s' <br /> osRpt, C.)vh"t <br /> Project Summary: <br /> ,_( t-xt 04-1 in 09e "(- <br /> Requested Action <br /> oeciai txceotton! use variance. - complete aria atteen untena TO.rLec!sl tv.raKina <br /> use reauestec: v p(t x o�r tw d () <br /> vanance(s) - List variances aglow, complete and attach unteria for oec/Slon Making <br /> 'lariance(s) requested: <br /> Required Documents <br /> Completed Application (includina Criteria for Decision Makina and Contact Informatiar, <br /> I Site Plan drawn to scafk/bv;(c( 5 tG, <br /> Filing Fee <br />