Laserfiche WebLink
The signature(s) of all property owner(s), or Attorney for all property owner(s) <br />~... <br />Signed: 2 Signed: <br />Address: ~ n n / ~~~ ,_~n-f~~ Address: <br />~~ ~d~~~~ <br />Phone Number: ~~~7 Phone Number: <br />Name, Address & Phone Number of Contact Person/Preparer (Please print): <br />Mary Beth (Becky) Wiseman <br />6001 Miami Road <br />South Bend, 46614 <br />~)~91-7647 <br />~'7~ <br />f /data/share/Dpnd/Annexation/Forms/anxpetor <br />S/02 <br />,: <br />a ~ ~w~t t . d,t, .. <br />~~~~'~' ~ ~ X002 <br />_.__._~ <br />G71 f`ib' rrir. F`= C 'a r•! <br />£ _, ~ , <br />