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Department of Community Investment <br />1400S County -City Building <br />South Bend, Indiana 46601 <br />(574) 235 -9371 (574) 235 -9021 Facsimile <br />St. Joseph County Auditor's Office <br />2nd Floor County -City Building <br />South Bend, Indiana 46601 <br />(574) 235 -9668 (574) 235 -5024 Facsimile <br />Office of the City Clerk <br />4th Floor County -City Building <br />South Bend, Indiana 46601 <br />(574) 235 -9221 (574) 235 -9173 Facsimile <br />Required Filing of All Revised Information Statements: Any Information Statements which <br />are revised should be filed with the Office of the City Clerk as soon as practicable by the <br />petitioner /developer, and in no event filed later than their first use with prospective property <br />owners in the affected tax abatement area. <br />I, Dennis Schwartz, the petitioner of record seeking single - family residential development real <br />property tax abatement consideration for multiple parcels in the City of South Bend, Indiana, for <br />the abatement commonly referred to as Crescent Oaks, Section Two, hereby acknowledges the <br />requirements set forth herein and agree to abide by such conditions. <br />(Signature) <br />Dennis Schwartz, Sole Mem r <br />Tampico Developments, LL <br />737 River Pointe Place, Mishawaka, IN 46544 <br />(574) 255 -1503 <br />Witness Signature <br />V k h,t n- LL21,j wrcf 't' yJo+uK Nd i z< <br />Printed Name and Offi ial Capacity <br />Address: <br />City /State /Zip: <br />Phone No.: <br />(Rev. 5113111) <br />SHANE MATTHEW WAGONER <br />NOTARY PUSUO <br />SEAL <br />STATE OF INDIANA <br />W COMMISSION EXPIRES APRIL 5, 2019 <br />Signed this 2/ day of <br />