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23. Please indicate the name, address, and telephone number of the person who will work <br />with Employment Training Services (ETS) for employee recruitment, and sign the ETS <br />form attached to the petition if the real tax abatement is for warehouse or industrial <br />developments. <br />NAME: Beth Pemberton c/o The South Bend Clinic <br />ADDRESS: 211 N Eddy St. <br />CITY, STATE, ZIP CODE: South Bend. IN 46617 <br />TELEPHONE: 574-239-1406 <br />WHEREFORE, Petitioner requests that the Common Council of the City of South Bend, Indiana, <br />adopt a declaratory resolution designating the area described herein to be an economic <br />revitalization area for purposes of tangible real property tax abatement consideration, and after <br />publication of notice and public hearing, determine qualifications for an economic revitalization <br />area have been met, and confirm such Resolution. Petitioner herein hereby verifies that the <br />required $250.00 filing fee to cover processing and administrative costs pursuant to Section 2- <br />84.7 of the Municipal Code of the City of South Bend has been paid in full. <br />Name of Property Owner(s): <br />The South Bend Clinic, LLP & Portage <br />Attachments: <br />Exhibit A -Legal Description <br />Exhibit B -Map or Plat <br />Exhibit C -Photographs of the Property <br />~lE~~ <br />SBDS02 TDH 301032v1 <br />g 2006 ' <br />DES ~ <br />~._--- <br />6 <br />Paul J. Meyer, Executive Director and Manager <br />(Typed or printed name and capacity of signor if signed by an <br />agent or representative of the owner.) <br />