Confirming Tax Abatement - 211 N. Eddy Street - The South Bend Clinic, LLP, South Bend Mac, L.P. & Eddy Property Development, LLC

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24. The following person(s) should be contacted as the petitioner's agent regarding additional information and public hearing notifications: NAME: Richard J. Deahl, Barnes & Thornburg LLP ADDRESS: 600 1St Source Bank Center, 100 North Michigan CITY, STATE, ZIP CODE: South Bend, IN 46601 TELEPHONE: 574-233-1171 25. Please indicate the name, address, and telephone number of the person who will work with Employment Training Services (ETS) for employee recruitment, and sign the ETS form attached to the petition if the real tax abatement is for warehouse or industrial developments. NAME: Beth Pemberton and Julie Funk c/o The South Bend Clinic ADDRESS: 211 N. Eddy St. CITY, STATE, ZIP CODE: South Bend, IN 46617 TELEPHONE: 574-239-1406 and 574-239-1559, respectively WHEREFORE, Petitioner requests that the Common Council of the City of South Bend, Indiana, adopt a declaratory resolution designating the area described herein to be an economic revitalization area for purposes of tangible real property tax abatement consideration, and after publication of notice and public hearing, determine qualifications for an economic revitalization area have been met, and confirm such Resolution. Petitioner herein hereby verifies that the required $250.00 filing fee to cover processing and administrative costs pursuant to Section 2- 84.7 of the Municipal Code of the City of South Bend has been paid in full. Name of Property Owner(s): Attachments: Exhibit A -Legal Description Exhibit B -Map or Plat Exhibit C -Photographs of the Property Exhibit D -Five year tax history by parcel Exhibit E -Construction budget -schedule of values SBDS02 RJD 349618v2 ~~~~d eli G~~P~'a Off~C~ JAN ' 8 2007 JOHN VOORDE CfTY CLERK, S0.6~!~p, IN. -8- (Typed or printed name and capacity of signor if signed by an agent or representative of the owner.)