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Date Filed: <br />Application No. <br />Date received by the Area Plan Commission: <br />I (we) the undersigned make application to the Common Council of the City of South Bend, Indiana to <br />amend the zoning ordinance as herein requested. <br />1) The property sought to be rezoned is located at: <br />1212 W. Ford St. <br />South Bend, IN 46619 <br />2) Name and address of property owner(s) of the petition site: <br />Jeffery Polanskey <br />737 Sylvan Lane <br />South Bend, IN 46619 <br />(219) 234-9897 <br />3) Name and address of contingent purchaser(s) if applicable: <br />N/A <br />4) It is desired and requested that this property be rezoned <br />From "A" residential, A height and Area <br />To "A-1" Residential, A height and Area <br />5) This rezoning is requested to allow the following use(s): <br />Changing existing structure from a single family dwelling to a duplex <br />6) Attached is a copy of (a) legal description of the property; (b) a list of names and addresses of all <br />property owners and the tax key numbers for all properties within 300 feet of the petition property; and <br />(c) addressed, stamped envelopes for all property owners within 300 feet of the petition property. <br />Signature s) of all property owner(s) <br />Petition prepared by: <br />Jeffery Polanskey <br />737 Sylvan Lane <br />South Bend, IN 46619 <br />Filed in Cierl~°~ ~f$ice <br />J U ~ - 7 [000 <br />LORETTA J. DUDA <br />CRY CLERK, 50. DEtJD, IN. <br />