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Docusign Envelope ID:C8D741E1-1790-889B-8342-32AFB81BD8C3 <br /> Contact Information <br /> Property owner(s) of the petition site: <br /> Name: Affordable HomeMatters Indiana, LLC <br /> Address: 1704 Bellefontaine Street Indianapolis, IN 46202 <br /> Name: <br /> Address: <br /> Name: <br /> Address: <br /> Contact Person: <br /> Name: Bennett Bensman <br /> Address: 1704 Bellefontaine Street <br /> Indianapolis, IN 46202 <br /> Phone Number: 317-924-8116 <br /> E-mail: bbensman@intendindiana.org <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 /> Property Owner (s) Signatures: <br /> ,-Signed by: <br /> SaYu(A ck.4541 ' <br /> 8990192CE7C24DC... <br />