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City, State, <br />Telephone f' j l 'd,� r —�-) b <br />Zip <br />WHEREFORE, Petitioner has paid the required fee of $50.00 and requests that the Common Council of <br />the City of South Bend, Indiana, adopt a declaratory resolution designating the area described herein as a <br />residentially distressed area for the purposes of real property tax abatement consideration, and after <br />publication of notice and public hearing, determine that the qualifications for a residentially distressed <br />area have been met and confirm such resolution. Name of Property Owner(s): <br />By: <br />(Signature) <br />r J <br />(Typed or printed name and capacity) <br />Filed to clergy's 01fice <br />SEP 1 8 2008 <br />3a�ra vocpae <br />